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 $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None | $346.74 | $346.74 | $346.74 |
BCBS Nebraska Setting Facility Modifier None Typical Low $331.13 Median $389.05 Typical High $398.11 | Facility | None | $331.13 | $389.05 | $398.11 |
BCBS Nebraska Setting Professional Modifier None Typical Low $371.54 Median $398.11 Typical High $398.11 | Professional | None | $371.54 | $398.11 | $398.11 |
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 $426.58 Typical High $446.68 | Professional | None | $158.49 | $426.58 | $446.68 |
Medica Setting Facility Modifier None Typical Low $354.81 Median $676.08 Typical High $1,412.54 | Facility | None | $354.81 | $676.08 | $1,412.54 |
Medica Setting Professional Modifier None Typical Low $323.59 Median $354.81 Typical High $1,148.15 | Professional | None | $323.59 | $354.81 | $1,148.15 |
Midlands Setting Professional Modifier None Typical Low $158.49 Median $426.58 Typical High $446.68 | Professional | None | $158.49 | $426.58 | $446.68 |
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 $316.23 Median $446.68 Typical High $588.84 | Professional | None | $316.23 | $446.68 | $588.84 |
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 $173.78 Median $173.78 Typical High $173.78 | Professional | 52 · Reduced service | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 53 · Discontinued | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 55 · Aftercare only | $52.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 56 · Pre-op care only | $34.67 | $34.67 | $34.67 |
Where Nebraska sits
The same service costs 5.9 times more in Wyoming 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· 8th of 51
$355
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.