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 $58.88 Median $60.26 Typical High $60.26 | Facility | None | $58.88 | $60.26 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $60.26 | Professional | None | $58.88 | $58.88 | $60.26 |
Ambetter Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
BCBS Nebraska Setting Facility Modifier None Typical Low $48.98 Median $61.66 Typical High $64.57 | Facility | None | $48.98 | $61.66 | $64.57 |
BCBS Nebraska Setting Professional Modifier None Typical Low $69.18 Median $74.13 Typical High $74.13 | Professional | None | $69.18 | $74.13 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $95.50 Typical High $97.72 | Professional | None | $72.44 | $95.50 | $97.72 |
Medica Setting Facility Modifier None Typical Low $63.10 Median $120.23 Typical High $371.54 | Facility | None | $63.10 | $120.23 | $371.54 |
Medica Setting Professional Modifier None Typical Low $63.10 Median $74.13 Typical High $302.00 | Professional | None | $63.10 | $74.13 | $302.00 |
Midlands Setting Professional Modifier None Typical Low $87.10 Median $93.33 Typical High $95.50 | Professional | None | $87.10 | $93.33 | $95.50 |
Midlands Setting Professional Modifier None Typical Low $79.43 Median $89.13 Typical High $158.49 | Professional | None | $79.43 | $89.13 | $158.49 |
United Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
United Setting Professional Modifier None Typical Low $57.54 Median $60.26 Typical High $89.13 | Professional | None | $57.54 | $60.26 | $89.13 |
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 $28.84 Median $28.84 Typical High $30.20 | Professional | 52 · Reduced service | $28.84 | $28.84 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $11.75 Typical High $12.02 | Professional | 53 · Discontinued | $11.75 | $11.75 | $12.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $8.71 Typical High $8.91 | Professional | 55 · Aftercare only | $8.71 | $8.71 | $8.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.89 Median $5.89 Typical High $6.03 | Professional | 56 · Pre-op care only | $5.89 | $5.89 | $6.03 |
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· 5th of 51
$74.13
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.