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 $91.20 Median $263.03 Typical High $691.83 | Facility | None | $91.20 | $263.03 | $691.83 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $120.23 | Professional | None | $91.20 | $91.20 | $120.23 |
BCBS Nebraska Setting Facility Modifier None Typical Low $645.65 Median $870.96 Typical High $1,737.80 | Facility | None | $645.65 | $870.96 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $154.88 Typical High $229.09 | Professional | None | $114.82 | $154.88 | $229.09 |
Medica Setting Facility Modifier None Typical Low $165.96 Median $245.47 Typical High $501.19 | Facility | None | $165.96 | $245.47 | $501.19 |
Medica Setting Professional Modifier None Typical Low $147.91 Median $229.09 Typical High $741.31 | Professional | None | $147.91 | $229.09 | $741.31 |
Midlands Setting Professional Modifier None Typical Low $117.49 Median $154.88 Typical High $239.88 | Professional | None | $117.49 | $154.88 | $239.88 |
Midlands Setting Professional Modifier None Typical Low $104.71 Median $208.93 Typical High $239.88 | Professional | None | $104.71 | $208.93 | $239.88 |
United Setting Professional Modifier None Typical Low $147.91 Median $204.17 Typical High $245.47 | Professional | None | $147.91 | $204.17 | $245.47 |
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 $45.71 Median $45.71 Typical High $60.26 | Professional | 52 · Reduced service | $45.71 | $45.71 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $23.99 | Professional | 53 · Discontinued | $18.20 | $18.20 | $23.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $13.80 Typical High $18.20 | Professional | 55 · Aftercare only | $13.80 | $13.80 | $18.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $9.12 Typical High $12.02 | Professional | 56 · Pre-op care only | $9.12 | $9.12 | $12.02 |
Where Nebraska sits
The same service costs 3.3 times more in Alaska than in Wyoming. 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· 3rd of 51
$178
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.