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 $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $77.62 | Professional | None | $74.13 | $74.13 | $77.62 |
BCBS Nebraska Setting Facility Modifier None Typical Low $1,230.27 Median $1,659.59 Typical High $3,311.31 | Facility | None | $1,230.27 | $1,659.59 | $3,311.31 |
BCBS Nebraska Setting Professional Modifier None Typical Low $95.50 Median $173.78 Typical High $181.97 | Professional | None | $95.50 | $173.78 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $208.93 Typical High $239.88 | Professional | None | $117.49 | $208.93 | $239.88 |
Medica Setting Facility Modifier None Typical Low $11.75 Median $165.96 Typical High $457.09 | Facility | None | $11.75 | $165.96 | $457.09 |
Medica Setting Professional Modifier None Typical Low $125.89 Median $213.80 Typical High $602.56 | Professional | None | $125.89 | $213.80 | $602.56 |
Midlands Setting Professional Modifier None Typical Low $117.49 Median $199.53 Typical High $208.93 | Professional | None | $117.49 | $199.53 | $208.93 |
Midlands Setting Professional Modifier None Typical Low $162.18 Median $204.17 Typical High $223.87 | Professional | None | $162.18 | $204.17 | $223.87 |
United Setting Professional Modifier None Typical Low $125.89 Median $169.82 Typical High $251.19 | Professional | None | $125.89 | $169.82 | $251.19 |
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 52 · Reduced service Typical Low $37.15 Median $37.15 Typical High $38.90 | Professional | 52 · Reduced service | $37.15 | $37.15 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $14.79 Typical High $15.49 | Professional | 53 · Discontinued | $14.79 | $14.79 | $15.49 |
Where Nebraska sits
The same service costs 7.4 times more in North Carolina than in Rhode Island. 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
$191
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.