How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $407.38 | Facility | None | $389.05 | $389.05 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $407.38 Typical High $1,071.52 | Professional | None | $389.05 | $407.38 | $1,071.52 |
BCBS Nebraska Setting Facility Modifier None Typical Low $331.13 Median $426.58 Typical High $446.68 | Facility | None | $331.13 | $426.58 | $446.68 |
BCBS Nebraska Setting Professional Modifier None Typical Low $457.09 Median $478.63 Typical High $478.63 | Professional | None | $457.09 | $478.63 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $524.81 | Professional | None | $416.87 | $416.87 | $524.81 |
Medica Setting Facility Modifier None Typical Low $338.84 Median $724.44 Typical High $1,819.70 | Facility | None | $338.84 | $724.44 | $1,819.70 |
Medica Setting Professional Modifier None Typical Low $363.08 Median $436.52 Typical High $1,584.89 | Professional | None | $363.08 | $436.52 | $1,584.89 |
Midlands Setting Professional Modifier None Typical Low $575.44 Median $602.56 Typical High $630.96 | Professional | None | $575.44 | $602.56 | $630.96 |
Midlands Setting Professional Modifier None Typical Low $457.09 Median $630.96 Typical High $691.83 | Professional | None | $457.09 | $630.96 | $691.83 |
United Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
United Setting Professional Modifier None Typical Low $371.54 Median $389.05 Typical High $478.63 | Professional | None | $371.54 | $389.05 | $478.63 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $194.98 Median $204.17 Typical High $204.17 | Professional | 52 · Reduced service | $194.98 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $81.28 Typical High $81.28 | Professional | 53 · Discontinued | $77.62 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $61.66 Typical High $61.66 | Professional | 55 · Aftercare only | $58.88 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $40.74 Typical High $40.74 | Professional | 56 · Pre-op care only | $38.90 | $40.74 | $40.74 |
Where Nebraska sits
The same service costs 1.5 times more in Alaska than in Oklahoma. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Nebraska· 6th of 51
$437
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.