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 $104.71 Median $3,801.89 Typical High $11,481.54 | Facility | None | $104.71 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $134.90 Typical High $275.42 | Professional | None | $69.18 | $134.90 | $275.42 |
Ambetter Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None | $245.47 | $245.47 | $245.47 |
BCBS Nebraska Setting Facility Modifier None Typical Low $2,344.23 Median $3,162.28 Typical High $6,456.54 | Facility | None | $2,344.23 | $3,162.28 | $6,456.54 |
BCBS Nebraska Setting Professional Modifier None Typical Low $61.66 Median $104.71 Typical High $141.25 | Professional | None | $61.66 | $104.71 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $114.82 Typical High $144.54 | Facility | None | $95.50 | $114.82 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $229.09 Typical High $275.42 | Professional | None | $165.96 | $229.09 | $275.42 |
Medica Setting Facility Modifier None Typical Low $199.53 Median $660.69 Typical High $2,290.87 | Facility | None | $199.53 | $660.69 | $2,290.87 |
Medica Setting Professional Modifier None Typical Low $138.04 Median $263.03 Typical High $851.14 | Professional | None | $138.04 | $263.03 | $851.14 |
Midlands Setting Professional Modifier None Typical Low $169.82 Median $234.42 Typical High $288.40 | Professional | None | $169.82 | $234.42 | $288.40 |
Midlands Setting Facility Modifier None Typical Low $91.20 Median $114.82 Typical High $154.88 | Facility | None | $91.20 | $114.82 | $154.88 |
Midlands Setting Professional Modifier None Typical Low $144.54 Median $218.78 Typical High $251.19 | Professional | None | $144.54 | $218.78 | $251.19 |
United Setting Facility Modifier None Typical Low $467.74 Median $851.14 Typical High $2,754.23 | Facility | None | $467.74 | $851.14 | $2,754.23 |
United Setting Professional Modifier None Typical Low $109.65 Median $177.83 Typical High $288.40 | Professional | None | $109.65 | $177.83 | $288.40 |
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 $34.67 Median $34.67 Typical High $52.48 | Professional | 52 · Reduced service | $34.67 | $34.67 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $13.80 Typical High $20.89 | Professional | 53 · Discontinued | $13.80 | $13.80 | $20.89 |
Where Nebraska sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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· 26th of 51
$135
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.