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 $14.45 Median $14.45 Typical High $14.45 | Facility | None | $14.45 | $14.45 | $14.45 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $19.05 | Professional | None | $14.45 | $14.45 | $19.05 |
BCBS Nebraska Setting Facility Modifier None Typical Low $70.79 Median $245.47 Typical High $512.86 | Facility | None | $70.79 | $245.47 | $512.86 |
BCBS Nebraska Setting Professional Modifier None Typical Low $12.02 Median $20.42 Typical High $26.92 | Professional | None | $12.02 | $20.42 | $26.92 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $26.30 Typical High $33.88 | Professional | None | $25.70 | $26.30 | $33.88 |
Medica Setting Facility Modifier None Typical Low $27.54 Median $33.88 Typical High $100.00 | Facility | None | $27.54 | $33.88 | $100.00 |
Medica Setting Professional Modifier None Typical Low $24.55 Median $26.92 Typical High $97.72 | Professional | None | $24.55 | $26.92 | $97.72 |
Midlands Setting Professional Modifier None Typical Low $30.20 Median $33.11 Typical High $40.74 | Professional | None | $30.20 | $33.11 | $40.74 |
Midlands Setting Professional Modifier None Typical Low $29.51 Median $31.62 Typical High $39.81 | Professional | None | $29.51 | $31.62 | $39.81 |
United Setting Facility Modifier None Typical Low $46.77 Median $50.12 Typical High $63.10 | Facility | None | $46.77 | $50.12 | $63.10 |
United Setting Professional Modifier None Typical Low $23.99 Median $24.55 Typical High $38.02 | Professional | None | $23.99 | $24.55 | $38.02 |
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 $7.24 Median $7.24 Typical High $8.32 | Professional | 52 · Reduced service | $7.24 | $7.24 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $2.88 Typical High $3.31 | Professional | 53 · Discontinued | $2.88 | $2.88 | $3.31 |
Where Nebraska sits
The same service costs 2.7 times more in Alaska than in Florida. 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· 5th of 51
$24.55
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.