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 $64.57 Median $204.17 Typical High $489.78 | Facility | None | $64.57 | $204.17 | $489.78 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $158.49 | Professional | None | $64.57 | $64.57 | $158.49 |
Ambetter Setting Professional Modifier None Typical Low $66.07 Median $131.83 Typical High $162.18 | Professional | None | $66.07 | $131.83 | $162.18 |
BCBS Nebraska Setting Facility Modifier None Typical Low $169.82 Median $223.87 Typical High $467.74 | Facility | None | $169.82 | $223.87 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $144.54 Typical High $169.82 | Professional | None | $138.04 | $144.54 | $169.82 |
Medica Setting Facility Modifier None Typical Low $128.82 Median $239.88 Typical High $794.33 | Facility | None | $128.82 | $239.88 | $794.33 |
Medica Setting Professional Modifier None Typical Low $114.82 Median $204.17 Typical High $1,548.82 | Professional | None | $114.82 | $204.17 | $1,548.82 |
Midlands Setting Professional Modifier None Typical Low $141.25 Median $169.82 Typical High $223.87 | Professional | None | $141.25 | $169.82 | $223.87 |
Midlands Setting Professional Modifier None Typical Low $134.90 Median $141.25 Typical High $177.83 | Professional | None | $134.90 | $141.25 | $177.83 |
United Setting Professional Modifier None Typical Low $107.15 Median $169.82 Typical High $218.78 | Professional | None | $107.15 | $169.82 | $218.78 |
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 $32.36 Median $32.36 Typical High $32.36 | Professional | 52 · Reduced service | $32.36 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | 53 · Discontinued | $12.88 | $12.88 | $12.88 |
Where Nebraska sits
The same service costs 2.8 times more in Minnesota than in Utah. 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· 4th of 51
$162
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.