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 $53.70 Median $53.70 Typical High $56.23 | Facility | None | $53.70 | $53.70 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $56.23 Typical High $56.23 | Professional | None | $53.70 | $56.23 | $56.23 |
BCBS Nebraska Setting Facility Modifier None Typical Low $45.71 Median $57.54 Typical High $61.66 | Facility | None | $45.71 | $57.54 | $61.66 |
BCBS Nebraska Setting Professional Modifier None Typical Low $61.66 Median $64.57 Typical High $64.57 | Professional | None | $61.66 | $64.57 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $75.86 Typical High $85.11 | Professional | None | $61.66 | $75.86 | $85.11 |
Medica Setting Facility Modifier None Typical Low $46.77 Median $95.50 Typical High $239.88 | Facility | None | $46.77 | $95.50 | $239.88 |
Medica Setting Professional Modifier None Typical Low $48.98 Median $57.54 Typical High $218.78 | Professional | None | $48.98 | $57.54 | $218.78 |
Midlands Setting Professional Modifier None Typical Low $75.86 Median $83.18 Typical High $87.10 | Professional | None | $75.86 | $83.18 | $87.10 |
Midlands Setting Professional Modifier None Typical Low $61.66 Median $87.10 Typical High $125.89 | Professional | None | $61.66 | $87.10 | $125.89 |
United Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
United Setting Professional Modifier None Typical Low $50.12 Median $53.70 Typical High $69.18 | Professional | None | $50.12 | $53.70 | $69.18 |
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 $26.92 Median $28.18 Typical High $28.18 | Professional | 52 · Reduced service | $26.92 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $11.22 Typical High $11.22 | Professional | 53 · Discontinued | $10.72 | $11.22 | $11.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.94 Median $8.51 Typical High $8.51 | Professional | 55 · Aftercare only | $7.94 | $8.51 | $8.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $5.62 Typical High $5.62 | Professional | 56 · Pre-op care only | $5.37 | $5.62 | $5.62 |
Where Nebraska sits
Rates are fairly even across states for this service. 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· 4th of 51
$61.66
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.