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 $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | None | $97.72 | $97.72 | $97.72 |
BCBS Nebraska Setting Facility Modifier None Typical Low $93.33 Median $109.65 Typical High $109.65 | Facility | None | $93.33 | $109.65 | $109.65 |
BCBS Nebraska Setting Professional Modifier None Typical Low $104.71 Median $109.65 Typical High $109.65 | Professional | None | $104.71 | $109.65 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $208.93 Typical High $234.42 | Facility | None | $107.15 | $208.93 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $128.82 Typical High $158.49 | Professional | None | $123.03 | $128.82 | $158.49 |
Medica Setting Facility Modifier None Typical Low $70.79 Median $204.17 Typical High $776.25 | Facility | None | $70.79 | $204.17 | $776.25 |
Medica Setting Professional Modifier None Typical Low $97.72 Median $107.15 Typical High $213.80 | Professional | None | $97.72 | $107.15 | $213.80 |
Midlands Setting Professional Modifier None Typical Low $117.49 Median $128.82 Typical High $316.23 | Professional | None | $117.49 | $128.82 | $316.23 |
Midlands Setting Facility Modifier None Typical Low $169.82 Median $223.87 Typical High $331.13 | Facility | None | $169.82 | $223.87 | $331.13 |
Midlands Setting Professional Modifier None Typical Low $117.49 Median $128.82 Typical High $269.15 | Professional | None | $117.49 | $128.82 | $269.15 |
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 $48.98 Median $48.98 Typical High $48.98 | Professional | 52 · Reduced service | $48.98 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | 53 · Discontinued | $19.50 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | 55 · Aftercare only | $14.79 | $14.79 | $14.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | 56 · Pre-op care only | $9.77 | $9.77 | $9.77 |
Where Nebraska sits
The same service costs 2.0 times more in Alaska 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· 41st of 51
$110
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.