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 $3,890.45 Median $3,890.45 Typical High $3,890.45 | Facility | None | $3,890.45 | $3,890.45 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Professional | None | $3,890.45 | $3,890.45 | $3,890.45 |
BCBS Nebraska Setting Facility Modifier None Typical Low $2,818.38 Median $3,311.31 Typical High $3,388.44 | Facility | None | $2,818.38 | $3,311.31 | $3,388.44 |
BCBS Nebraska Setting Professional Modifier None Typical Low $3,162.28 Median $3,388.44 Typical High $3,388.44 | Professional | None | $3,162.28 | $3,388.44 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $3,467.37 Median $3,715.35 Typical High $3,715.35 | Professional | None | $3,467.37 | $3,715.35 | $3,715.35 |
Medica Setting Facility Modifier None Typical Low $2,951.21 Median $7,413.10 Typical High $18,197.01 | Facility | None | $2,951.21 | $7,413.10 | $18,197.01 |
Medica Setting Professional Modifier None Typical Low $3,715.35 Median $4,168.69 Typical High $4,570.88 | Professional | None | $3,715.35 | $4,168.69 | $4,570.88 |
Midlands Setting Professional Modifier None Typical Low $3,467.37 Median $3,715.35 Typical High $3,715.35 | Professional | None | $3,467.37 | $3,715.35 | $3,715.35 |
Midlands Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $4,570.88 | Professional | None | $3,467.37 | $3,467.37 | $4,570.88 |
United Setting Professional Modifier None Typical Low $3,801.89 Median $4,168.69 Typical High $4,168.69 | Professional | None | $3,801.89 | $4,168.69 | $4,168.69 |
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 $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | 52 · Reduced service | $1,949.84 | $1,949.84 | $1,949.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | 53 · Discontinued | $776.25 | $776.25 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | 55 · Aftercare only | $575.44 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | 56 · Pre-op care only | $389.05 | $389.05 | $389.05 |
Where Nebraska sits
The same service costs 2.2 times more in Alaska than in South 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
$3,890
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.