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 $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
BCBS Nebraska Setting Facility Modifier None Typical Low $100.00 Median $117.49 Typical High $120.23 | Facility | None | $100.00 | $117.49 | $120.23 |
BCBS Nebraska Setting Professional Modifier None Typical Low $114.82 Median $120.23 Typical High $120.23 | Professional | None | $114.82 | $120.23 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $208.93 Typical High $234.42 | Facility | None | $190.55 | $208.93 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $107.15 Typical High $169.82 | Professional | None | $102.33 | $107.15 | $169.82 |
Medica Setting Facility Modifier None Typical Low $89.13 Median $354.81 Typical High $602.56 | Facility | None | $89.13 | $354.81 | $602.56 |
Medica Setting Professional Modifier None Typical Low $37.15 Median $89.13 Typical High $562.34 | Professional | None | $37.15 | $89.13 | $562.34 |
Midlands Setting Professional Modifier None Typical Low $107.15 Median $158.49 Typical High $204.17 | Professional | None | $107.15 | $158.49 | $204.17 |
Midlands Setting Facility Modifier None Typical Low $190.55 Median $208.93 Typical High $331.13 | Facility | None | $190.55 | $208.93 | $331.13 |
Midlands Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $223.87 | Professional | None | $158.49 | $158.49 | $223.87 |
United Setting Professional Modifier None Typical Low $114.82 Median $125.89 Typical High $134.90 | Professional | None | $114.82 | $125.89 | $134.90 |
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 $53.70 Median $53.70 Typical High $53.70 | Professional | 52 · Reduced service | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 53 · Discontinued | $21.38 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | 55 · Aftercare only | $15.85 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | 56 · Pre-op care only | $10.72 | $10.72 | $10.72 |
Where Nebraska sits
The same service costs 6.0 times more in Wyoming than in Montana. 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· 41st of 51
$115
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.