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 $30.20 Median $30.20 Typical High $120.23 | Facility | None | $30.20 | $30.20 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $45.71 Typical High $120.23 | Professional | None | $30.20 | $45.71 | $120.23 |
BCBS Nebraska Setting Facility Modifier None Typical Low $1,000.00 Median $1,621.81 Typical High $3,388.44 | Facility | None | $1,000.00 | $1,621.81 | $3,388.44 |
BCBS Nebraska Setting Professional Modifier None Typical Low $27.54 Median $46.77 Typical High $61.66 | Professional | None | $27.54 | $46.77 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $123.03 Typical High $302.00 | Professional | None | $66.07 | $123.03 | $302.00 |
Medica Setting Facility Modifier None Typical Low $61.66 Median $199.53 Typical High $794.33 | Facility | None | $61.66 | $199.53 | $794.33 |
Medica Setting Professional Modifier None Typical Low $87.10 Median $141.25 Typical High $707.95 | Professional | None | $87.10 | $141.25 | $707.95 |
Midlands Setting Professional Modifier None Typical Low $66.07 Median $123.03 Typical High $331.13 | Professional | None | $66.07 | $123.03 | $331.13 |
Midlands Setting Professional Modifier None Typical Low $67.61 Median $208.93 Typical High $331.13 | Professional | None | $67.61 | $208.93 | $331.13 |
United Setting Facility Modifier None Typical Low $467.74 Median $501.19 Typical High $630.96 | Facility | None | $467.74 | $501.19 | $630.96 |
United Setting Professional Modifier None Typical Low $45.71 Median $87.10 Typical High $245.47 | Professional | None | $45.71 | $87.10 | $245.47 |
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 $15.14 Median $22.91 Typical High $60.26 | Professional | 52 · Reduced service | $15.14 | $22.91 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $9.12 Typical High $23.99 | Professional | 53 · Discontinued | $6.03 | $9.12 | $23.99 |
Where Nebraska sits
The same service costs 4.2 times more in Washington 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· 43rd of 51
$58.88
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.