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 $7.59 Median $23.99 Typical High $57.54 | Facility | None | $7.59 | $23.99 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $18.62 | Professional | None | $7.59 | $7.59 | $18.62 |
Ambetter Setting Professional Modifier None Typical Low $7.59 Median $9.55 Typical High $19.95 | Professional | None | $7.59 | $9.55 | $19.95 |
BCBS Nebraska Setting Facility Modifier None Typical Low $18.20 Median $173.78 Typical High $363.08 | Facility | None | $18.20 | $173.78 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $16.60 Typical High $19.95 | Professional | None | $14.13 | $16.60 | $19.95 |
Medica Setting Facility Modifier None Typical Low $14.79 Median $33.11 Typical High $100.00 | Facility | None | $14.79 | $33.11 | $100.00 |
Medica Setting Professional Modifier None Typical Low $13.80 Median $19.95 Typical High $77.62 | Professional | None | $13.80 | $19.95 | $77.62 |
Midlands Setting Professional Modifier None Typical Low $16.60 Median $16.98 Typical High $21.88 | Professional | None | $16.60 | $16.98 | $21.88 |
Midlands Setting Professional Modifier None Typical Low $12.88 Median $16.98 Typical High $21.38 | Professional | None | $12.88 | $16.98 | $21.38 |
United Setting Professional Modifier None Typical Low $13.49 Median $18.20 Typical High $21.38 | Professional | None | $13.49 | $18.20 | $21.38 |
4 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 $3.80 Median $3.80 Typical High $3.80 | Professional | 52 · Reduced service | $3.80 | $3.80 | $3.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.51 Median $1.51 Typical High $1.51 | Professional | 53 · Discontinued | $1.51 | $1.51 | $1.51 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $8.13 Median $11.75 Typical High $13.49 | Professional | 59 · Distinct service | $8.13 | $11.75 | $13.49 |
Ambetter Setting Professional Modifier XU · Unusual separate service Typical Low $7.59 Median $7.59 Typical High $16.98 | Professional | XU · Unusual separate service | $7.59 | $7.59 | $16.98 |
Where Nebraska sits
The same service costs 2.5 times more in Alaska 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· 6th 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.