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 $10.96 Median $39.81 Typical High $81.28 | Facility | None | $10.96 | $39.81 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $15.85 | Professional | None | $10.96 | $10.96 | $15.85 |
BCBS Nebraska Setting Facility Modifier None Typical Low $102.33 Median $213.80 Typical High $416.87 | Facility | None | $102.33 | $213.80 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $44.67 Typical High $44.67 | Professional | None | $20.89 | $44.67 | $44.67 |
Medica Setting Facility Modifier None Typical Low $15.14 Median $117.49 Typical High $251.19 | Facility | None | $15.14 | $117.49 | $251.19 |
Medica Setting Professional Modifier None Typical Low $13.80 Median $14.45 Typical High $162.18 | Professional | None | $13.80 | $14.45 | $162.18 |
Midlands Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $44.67 | Professional | None | $30.20 | $30.20 | $44.67 |
Midlands Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $44.67 | Professional | None | $30.20 | $30.20 | $44.67 |
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 $11.22 Median $14.45 Typical High $26.30 | Professional | None | $11.22 | $14.45 | $26.30 |
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 $5.50 Median $5.50 Typical High $7.94 | Professional | 52 · Reduced service | $5.50 | $5.50 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.19 Median $2.19 Typical High $3.16 | Professional | 53 · Discontinued | $2.19 | $2.19 | $3.16 |
Where Nebraska sits
The same service costs 14.8 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· 34th of 51
$14.45
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.