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 $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None | $38.90 | $38.90 | $38.90 |
BCBS Nebraska Setting Facility Modifier None Typical Low $37.15 Median $43.65 Typical High $44.67 | Facility | None | $37.15 | $43.65 | $44.67 |
BCBS Nebraska Setting Professional Modifier None Typical Low $42.66 Median $44.67 Typical High $44.67 | Professional | None | $42.66 | $44.67 | $44.67 |
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 $50.12 Median $50.12 Typical High $190.55 | Professional | None | $50.12 | $50.12 | $190.55 |
Medica Setting Facility Modifier None Typical Low $41.69 Median $79.43 Typical High $1,698.24 | Facility | None | $41.69 | $79.43 | $1,698.24 |
Medica Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $812.83 | Professional | None | $41.69 | $41.69 | $812.83 |
Midlands Setting Professional Modifier None Typical Low $50.12 Median $53.70 Typical High $316.23 | Professional | None | $50.12 | $53.70 | $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 $53.70 Median $54.95 Typical High $158.49 | Professional | None | $53.70 | $54.95 | $158.49 |
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 $19.50 Median $19.50 Typical High $19.50 | Professional | 52 · Reduced service | $19.50 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | 53 · Discontinued | $7.94 | $7.94 | $7.94 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.89 Median $5.89 Typical High $5.89 | Professional | 55 · Aftercare only | $5.89 | $5.89 | $5.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.89 Median $3.89 Typical High $3.89 | Professional | 56 · Pre-op care only | $3.89 | $3.89 | $3.89 |
Where Nebraska sits
The same service costs 25.1 times more in Wyoming than in Kentucky. 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· 45th of 51
$50.12
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.