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 $269.15 Median $398.11 Typical High $398.11 | Facility | None | $269.15 | $398.11 | $398.11 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $371.54 Typical High $398.11 | Professional | None | $43.65 | $371.54 | $398.11 |
BCBS Nebraska Setting Facility Modifier None Typical Low $44.67 Median $60.26 Typical High $123.03 | Facility | None | $44.67 | $60.26 | $123.03 |
BCBS Nebraska Setting Professional Modifier None Typical Low $371.54 Median $380.19 Typical High $389.05 | Professional | None | $371.54 | $380.19 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $309.03 Typical High $363.08 | Professional | None | $302.00 | $309.03 | $363.08 |
Medica Setting Professional Modifier None Typical Low $398.11 Median $851.14 Typical High $851.14 | Professional | None | $398.11 | $851.14 | $851.14 |
Oscar Health Setting Professional Modifier None Typical Low $3.98 Median $4.68 Typical High $22.91 | Professional | None | $3.98 | $4.68 | $22.91 |
2 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 53 · Discontinued Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | 53 · Discontinued | $8.71 | $8.71 | $8.71 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | QZ · CRNA, independent | $478.63 | $478.63 | $478.63 |