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 $8.51 Median $30.20 Typical High $63.10 | Facility | None | $8.51 | $30.20 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $12.02 | Professional | None | $8.51 | $8.51 | $12.02 |
BCBS Nebraska Setting Facility Modifier None Typical Low $154.88 Median $213.80 Typical High $416.87 | Facility | None | $154.88 | $213.80 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $34.67 Typical High $34.67 | Professional | None | $16.22 | $34.67 | $34.67 |
Medica Setting Facility Modifier None Typical Low $10.47 Median $128.82 Typical High $251.19 | Facility | None | $10.47 | $128.82 | $251.19 |
Medica Setting Professional Modifier None Typical Low $10.47 Median $11.22 Typical High $125.89 | Professional | None | $10.47 | $11.22 | $125.89 |
Midlands Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $29.51 | Professional | None | $23.44 | $23.44 | $29.51 |
Midlands Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $29.51 | Professional | None | $23.44 | $23.44 | $29.51 |
United Setting Facility Modifier None Typical Low $213.80 Median $229.09 Typical High $288.40 | Facility | None | $213.80 | $229.09 | $288.40 |
United Setting Professional Modifier None Typical Low $8.71 Median $11.22 Typical High $18.20 | Professional | None | $8.71 | $11.22 | $18.20 |
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 $4.17 Median $4.17 Typical High $6.03 | Professional | 52 · Reduced service | $4.17 | $4.17 | $6.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.70 Median $1.70 Typical High $2.45 | Professional | 53 · Discontinued | $1.70 | $1.70 | $2.45 |
Where Nebraska sits
The same service costs 9.3 times more in Alaska than in New Jersey. 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· 32nd of 51
$11.22
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.