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 $70.79 Median $74.13 Typical High $107.15 | Facility | None | $70.79 | $74.13 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $77.62 | Professional | None | $70.79 | $70.79 | $77.62 |
BCBS Nebraska Setting Facility Modifier None Typical Low $60.26 Median $74.13 Typical High $79.43 | Facility | None | $60.26 | $74.13 | $79.43 |
BCBS Nebraska Setting Professional Modifier None Typical Low $79.43 Median $83.18 Typical High $83.18 | Professional | None | $79.43 | $83.18 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $114.82 Typical High $117.49 | Professional | None | $89.13 | $114.82 | $117.49 |
Medica Setting Facility Modifier None Typical Low $75.86 Median $144.54 Typical High $501.19 | Facility | None | $75.86 | $144.54 | $501.19 |
Medica Setting Professional Modifier None Typical Low $75.86 Median $81.28 Typical High $114.82 | Professional | None | $75.86 | $81.28 | $114.82 |
Midlands Setting Professional Modifier None Typical Low $104.71 Median $112.20 Typical High $114.82 | Professional | None | $104.71 | $112.20 | $114.82 |
Midlands Setting Professional Modifier None Typical Low $95.50 Median $107.15 Typical High $162.18 | Professional | None | $95.50 | $107.15 | $162.18 |
United Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
United Setting Professional Modifier None Typical Low $69.18 Median $74.13 Typical High $109.65 | Professional | None | $69.18 | $74.13 | $109.65 |
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 $35.48 Median $35.48 Typical High $38.90 | Professional | 52 · Reduced service | $35.48 | $35.48 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $15.49 | Professional | 53 · Discontinued | $14.13 | $14.13 | $15.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $10.47 Typical High $11.48 | Professional | 55 · Aftercare only | $10.47 | $10.47 | $11.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $7.08 Typical High $7.76 | Professional | 56 · Pre-op care only | $7.08 | $7.08 | $7.76 |
Where Nebraska sits
The same service costs 1.5 times more in Wyoming than in Florida. 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· 5th of 51
$85.11
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.