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 $4.90 Median $4.90 Typical High $9.77 | Facility | None | $4.90 | $4.90 | $9.77 |
Aetna Setting Professional Modifier None Typical Low $4.90 Median $5.25 Typical High $13.80 | Professional | None | $4.90 | $5.25 | $13.80 |
Ambetter Setting Professional Modifier None Typical Low $4.90 Median $4.90 Typical High $4.90 | Professional | None | $4.90 | $4.90 | $4.90 |
BCBS Nebraska Setting Facility Modifier None Typical Low $4.27 Median $5.37 Typical High $5.75 | Facility | None | $4.27 | $5.37 | $5.75 |
BCBS Nebraska Setting Professional Modifier None Typical Low $5.75 Median $6.03 Typical High $6.03 | Professional | None | $5.75 | $6.03 | $6.03 |
Cigna Setting Professional Modifier None Typical Low $5.89 Median $10.47 Typical High $10.72 | Professional | None | $5.89 | $10.47 | $10.72 |
Medica Setting Facility Modifier None Typical Low $6.92 Median $13.18 Typical High $19.05 | Facility | None | $6.92 | $13.18 | $19.05 |
Medica Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $8.32 | Professional | None | $6.92 | $6.92 | $8.32 |
Midlands Setting Professional Modifier None Typical Low $7.94 Median $8.71 Typical High $10.47 | Professional | None | $7.94 | $8.71 | $10.47 |
Midlands Setting Professional Modifier None Typical Low $7.94 Median $8.32 Typical High $17.38 | Professional | None | $7.94 | $8.32 | $17.38 |
United Setting Professional Modifier None Typical Low $4.68 Median $4.90 Typical High $5.89 | Professional | None | $4.68 | $4.90 | $5.89 |
5 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 $2.45 Median $2.63 Typical High $2.88 | Professional | 52 · Reduced service | $2.45 | $2.63 | $2.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.00 Median $1.07 Typical High $1.15 | Professional | 53 · Discontinued | $1.00 | $1.07 | $1.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.74 Median $0.79 Typical High $0.87 | Professional | 55 · Aftercare only | $0.74 | $0.79 | $0.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.49 Median $0.52 Typical High $0.58 | Professional | 56 · Pre-op care only | $0.49 | $0.52 | $0.58 |
Ambetter Setting Professional Modifier JZ · No drug discarded Typical Low $5.25 Median $5.25 Typical High $5.25 | Professional | JZ · No drug discarded | $5.25 | $5.25 | $5.25 |
Where Nebraska sits
The same service costs 1.9 times more in Wyoming than in Colorado. 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
$6.92
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.