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 $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None | $128.82 | $128.82 | $128.82 |
BCBS Nebraska Setting Facility Modifier None Typical Low $154.88 Median $181.97 Typical High $181.97 | Facility | None | $154.88 | $181.97 | $181.97 |
BCBS Nebraska Setting Professional Modifier None Typical Low $173.78 Median $181.97 Typical High $181.97 | Professional | None | $173.78 | $181.97 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $223.87 Typical High $234.42 | Facility | None | $190.55 | $223.87 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $204.17 Typical High $204.17 | Professional | None | $158.49 | $204.17 | $204.17 |
Medica Setting Facility Modifier None Typical Low $128.82 Median $162.18 Typical High $245.47 | Facility | None | $128.82 | $162.18 | $245.47 |
Medica Setting Professional Modifier None Typical Low $144.54 Median $162.18 Typical High $162.18 | Professional | None | $144.54 | $162.18 | $162.18 |
Midlands Setting Professional Modifier None Typical Low $158.49 Median $204.17 Typical High $316.23 | Professional | None | $158.49 | $204.17 | $316.23 |
Midlands Setting Facility Modifier None Typical Low $190.55 Median $223.87 Typical High $331.13 | Facility | None | $190.55 | $223.87 | $331.13 |
Midlands Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $316.23 | Professional | None | $158.49 | $158.49 | $316.23 |
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 $64.57 Median $64.57 Typical High $64.57 | Professional | 52 · Reduced service | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $25.70 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | 55 · Aftercare only | $19.50 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | 56 · Pre-op care only | $12.88 | $12.88 | $12.88 |
Where Nebraska sits
The same service costs 2.3 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· 7th of 51
$162
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.