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 $60.26 Median $60.26 Typical High $69.18 | Facility | None | $60.26 | $60.26 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None | $69.18 | $69.18 | $69.18 |
BCBS Nebraska Setting Facility Modifier None Typical Low $64.57 Median $75.86 Typical High $77.62 | Facility | None | $64.57 | $75.86 | $77.62 |
BCBS Nebraska Setting Professional Modifier None Typical Low $74.13 Median $77.62 Typical High $77.62 | Professional | None | $74.13 | $77.62 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $208.93 Typical High $234.42 | Facility | None | $31.62 | $208.93 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $81.28 Typical High $158.49 | Professional | None | $77.62 | $81.28 | $158.49 |
Medica Setting Facility Modifier None Typical Low $60.26 Median $154.88 Typical High $302.00 | Facility | None | $60.26 | $154.88 | $302.00 |
Medica Setting Professional Modifier None Typical Low $61.66 Median $69.18 Typical High $81.28 | Professional | None | $61.66 | $69.18 | $81.28 |
Midlands Setting Professional Modifier None Typical Low $79.43 Median $81.28 Typical High $316.23 | Professional | None | $79.43 | $81.28 | $316.23 |
Midlands Setting Facility Modifier None Typical Low $30.20 Median $204.17 Typical High $331.13 | Facility | None | $30.20 | $204.17 | $331.13 |
Midlands Setting Professional Modifier None Typical Low $79.43 Median $85.11 Typical High $169.82 | Professional | None | $79.43 | $85.11 | $169.82 |
United Setting Professional Modifier None Typical Low $114.82 Median $125.89 Typical High $125.89 | Professional | None | $114.82 | $125.89 | $125.89 |
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 $33.88 Median $33.88 Typical High $33.88 | Professional | 52 · Reduced service | $33.88 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | 53 · Discontinued | $13.80 | $13.80 | $13.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | 55 · Aftercare only | $10.23 | $10.23 | $10.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $6.92 Typical High $6.92 | Professional | 56 · Pre-op care only | $6.92 | $6.92 | $6.92 |
Where Nebraska sits
The same service costs 2.7 times more in North Dakota 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· 32nd of 51
$77.62
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.