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 $57.54 Typical High $181.97 | Facility | None | $54.95 | $57.54 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $81.28 Typical High $199.53 | Professional | None | $25.70 | $81.28 | $199.53 |
Ambetter Setting Professional Modifier None Typical Low $39.81 Median $45.71 Typical High $45.71 | Professional | None | $39.81 | $45.71 | $45.71 |
BCBS Nebraska Setting Facility Modifier None Typical Low $691.83 Median $912.01 Typical High $1,862.09 | Facility | None | $691.83 | $912.01 | $1,862.09 |
BCBS Nebraska Setting Professional Modifier None Typical Low $22.91 Median $40.74 Typical High $56.23 | Professional | None | $22.91 | $40.74 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $104.71 Typical High $125.89 | Facility | None | $89.13 | $104.71 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $169.82 Typical High $213.80 | Professional | None | $56.23 | $169.82 | $213.80 |
Medica Setting Facility Modifier None Typical Low $85.11 Median $194.98 Typical High $1,000.00 | Facility | None | $85.11 | $194.98 | $1,000.00 |
Medica Setting Professional Modifier None Typical Low $109.65 Median $208.93 Typical High $660.69 | Professional | None | $109.65 | $208.93 | $660.69 |
Midlands Setting Professional Modifier None Typical Low $67.61 Median $169.82 Typical High $208.93 | Professional | None | $67.61 | $169.82 | $208.93 |
Midlands Setting Facility Modifier None Typical Low $89.13 Median $104.71 Typical High $128.82 | Facility | None | $89.13 | $104.71 | $128.82 |
Midlands Setting Professional Modifier None Typical Low $46.77 Median $151.36 Typical High $275.42 | Professional | None | $46.77 | $151.36 | $275.42 |
United Setting Facility Modifier None Typical Low $104.71 Median $234.42 Typical High $1,230.27 | Facility | None | $104.71 | $234.42 | $1,230.27 |
United Setting Professional Modifier None Typical Low $36.31 Median $109.65 Typical High $208.93 | Professional | None | $36.31 | $109.65 | $208.93 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier GO · Occupational therapy plan Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | GO · Occupational therapy plan | $89.13 | $89.13 | $89.13 |
Where Nebraska sits
The same service costs 4.2 times more in Alaska than in Virginia. 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· 44th of 51
$54.95
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.