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 $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $75.86 | Professional | None | $28.84 | $28.84 | $75.86 |
BCBS Nebraska Setting Facility Modifier None Typical Low $501.19 Median $676.08 Typical High $1,348.96 | Facility | None | $501.19 | $676.08 | $1,348.96 |
BCBS Nebraska Setting Professional Modifier None Typical Low $52.48 Median $54.95 Typical High $54.95 | Professional | None | $52.48 | $54.95 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $87.10 Typical High $147.91 | Professional | None | $74.13 | $87.10 | $147.91 |
Medica Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $331.13 | Facility | None | $100.00 | $100.00 | $331.13 |
Medica Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $371.54 | Professional | None | $60.26 | $60.26 | $371.54 |
Midlands Setting Professional Modifier None Typical Low $77.62 Median $87.10 Typical High $154.88 | Professional | None | $77.62 | $87.10 | $154.88 |
Midlands Setting Professional Modifier None Typical Low $69.18 Median $134.90 Typical High $154.88 | Professional | None | $69.18 | $134.90 | $154.88 |
United Setting Professional Modifier None Typical Low $60.26 Median $61.66 Typical High $61.66 | Professional | None | $60.26 | $61.66 | $61.66 |
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 $14.45 Median $14.45 Typical High $27.54 | Professional | 52 · Reduced service | $14.45 | $14.45 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $5.75 Typical High $10.96 | Professional | 53 · Discontinued | $5.75 | $5.75 | $10.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.37 Median $4.37 Typical High $8.13 | Professional | 55 · Aftercare only | $4.37 | $4.37 | $8.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.88 Median $2.88 Typical High $5.50 | Professional | 56 · Pre-op care only | $2.88 | $2.88 | $5.50 |
Where Nebraska sits
The same service costs 4.6 times more in New York than in North Carolina. 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· 17th of 51
$61.66
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.