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 $7.94 Median $25.12 Typical High $26.30 | Facility | None | $7.94 | $25.12 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $5.89 Median $7.41 Typical High $18.20 | Professional | None | $5.89 | $7.41 | $18.20 |
BCBS Nebraska Setting Facility Modifier None Typical Low $30.90 Median $43.65 Typical High $85.11 | Facility | None | $30.90 | $43.65 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $13.80 Typical High $27.54 | Professional | None | $13.18 | $13.80 | $27.54 |
Medica Setting Facility Modifier None Typical Low $7.41 Median $34.67 Typical High $100.00 | Facility | None | $7.41 | $34.67 | $100.00 |
Medica Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $43.65 | Professional | None | $6.76 | $6.76 | $43.65 |
Midlands Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $20.42 | Professional | None | $13.80 | $13.80 | $20.42 |
Midlands Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Facility | None | $13.80 | $13.80 | $13.80 |
United Setting Facility Modifier None Typical Low $3.98 Median $4.68 Typical High $6.76 | Facility | None | $3.98 | $4.68 | $6.76 |
United Setting Professional Modifier None Typical Low $6.31 Median $6.76 Typical High $22.39 | Professional | None | $6.31 | $6.76 | $22.39 |
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 90 · Outside lab Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | 90 · Outside lab | $5.62 | $5.62 | $5.62 |
Where Nebraska sits
The same service costs 8.3 times more in Vermont than in Maryland. 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· 23rd of 51
$12.30
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.