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 $12.30 Median $44.67 Typical High $93.33 | Facility | None | $12.30 | $44.67 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $17.78 | Professional | None | $12.30 | $12.30 | $17.78 |
BCBS Nebraska Setting Facility Modifier None Typical Low $28.18 Median $213.80 Typical High $416.87 | Facility | None | $28.18 | $213.80 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $51.29 Typical High $51.29 | Professional | None | $23.99 | $51.29 | $51.29 |
Medica Setting Facility Modifier None Typical Low $16.98 Median $74.13 Typical High $125.89 | Facility | None | $16.98 | $74.13 | $125.89 |
Medica Setting Professional Modifier None Typical Low $15.49 Median $16.60 Typical High $186.21 | Professional | None | $15.49 | $16.60 | $186.21 |
Midlands Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $52.48 | Professional | None | $33.88 | $33.88 | $52.48 |
Midlands Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $52.48 | Professional | None | $33.88 | $33.88 | $52.48 |
United Setting Facility Modifier None Typical Low $72.44 Median $77.62 Typical High $100.00 | Facility | None | $72.44 | $77.62 | $100.00 |
United Setting Professional Modifier None Typical Low $12.59 Median $16.60 Typical High $27.54 | Professional | None | $12.59 | $16.60 | $27.54 |
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 $6.17 Median $6.17 Typical High $8.91 | Professional | 52 · Reduced service | $6.17 | $6.17 | $8.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.45 Typical High $3.55 | Professional | 53 · Discontinued | $2.45 | $2.45 | $3.55 |
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
$16.60
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.