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 $54.95 Median $54.95 Typical High $112.20 | Facility | None | $54.95 | $54.95 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
BCBS Nebraska Setting Facility Modifier None Typical Low $45.71 Median $58.88 Typical High $60.26 | Facility | None | $45.71 | $58.88 | $60.26 |
BCBS Nebraska Setting Professional Modifier None Typical Low $64.57 Median $69.18 Typical High $69.18 | Professional | None | $64.57 | $69.18 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $89.13 Typical High $93.33 | Professional | None | $63.10 | $89.13 | $93.33 |
Medica Setting Facility Modifier None Typical Low $40.74 Median $91.20 Typical High $457.09 | Facility | None | $40.74 | $91.20 | $457.09 |
Medica Setting Professional Modifier None Typical Low $74.13 Median $87.10 Typical High $316.23 | Professional | None | $74.13 | $87.10 | $316.23 |
Midlands Setting Professional Modifier None Typical Low $63.10 Median $66.07 Typical High $93.33 | Professional | None | $63.10 | $66.07 | $93.33 |
Midlands Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $194.98 | Professional | None | $63.10 | $63.10 | $194.98 |
United Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
United Setting Professional Modifier None Typical Low $53.70 Median $56.23 Typical High $83.18 | Professional | None | $53.70 | $56.23 | $83.18 |
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 $27.54 Median $27.54 Typical High $27.54 | Professional | 52 · Reduced service | $27.54 | $27.54 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | 53 · Discontinued | $10.96 | $10.96 | $10.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | 55 · Aftercare only | $8.32 | $8.32 | $8.32 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $5.50 Typical High $5.50 | Professional | 56 · Pre-op care only | $5.50 | $5.50 | $5.50 |
Where Nebraska sits
Rates are fairly even across states for this service. 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· 4th of 51
$74.13
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.