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 $30.90 Median $30.90 Typical High $33.11 | Facility | None | $30.90 | $30.90 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $33.11 Typical High $87.10 | Professional | None | $30.90 | $33.11 | $87.10 |
Ambetter Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
BCBS Nebraska Setting Facility Modifier None Typical Low $26.92 Median $33.88 Typical High $35.48 | Facility | None | $26.92 | $33.88 | $35.48 |
BCBS Nebraska Setting Professional Modifier None Typical Low $36.31 Median $38.02 Typical High $38.02 | Professional | None | $36.31 | $38.02 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $44.67 Typical High $48.98 | Professional | None | $36.31 | $44.67 | $48.98 |
Medica Setting Facility Modifier None Typical Low $30.20 Median $57.54 Typical High $144.54 | Facility | None | $30.20 | $57.54 | $144.54 |
Medica Setting Professional Modifier None Typical Low $28.84 Median $34.67 Typical High $125.89 | Professional | None | $28.84 | $34.67 | $125.89 |
Midlands Setting Professional Modifier None Typical Low $44.67 Median $47.86 Typical High $50.12 | Professional | None | $44.67 | $47.86 | $50.12 |
Midlands Setting Professional Modifier None Typical Low $36.31 Median $50.12 Typical High $75.86 | Professional | None | $36.31 | $50.12 | $75.86 |
United Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
United Setting Professional Modifier None Typical Low $29.51 Median $30.90 Typical High $38.90 | Professional | None | $29.51 | $30.90 | $38.90 |
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 $15.49 Median $16.60 Typical High $16.60 | Professional | 52 · Reduced service | $15.49 | $16.60 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.61 Typical High $6.61 | Professional | 53 · Discontinued | $6.31 | $6.61 | $6.61 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.68 Median $4.90 Typical High $4.90 | Professional | 55 · Aftercare only | $4.68 | $4.90 | $4.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.16 Median $3.31 Typical High $3.31 | Professional | 56 · Pre-op care only | $3.16 | $3.31 | $3.31 |
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
$36.31
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.