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 $17.38 Median $54.95 Typical High $128.82 | Facility | None | $17.38 | $54.95 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $42.66 | Professional | None | $17.38 | $17.38 | $42.66 |
Ambetter Setting Professional Modifier None Typical Low $20.42 Median $26.92 Typical High $42.66 | Professional | None | $20.42 | $26.92 | $42.66 |
BCBS Nebraska Setting Facility Modifier None Typical Low $141.25 Median $223.87 Typical High $467.74 | Facility | None | $141.25 | $223.87 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $44.67 Typical High $52.48 | Professional | None | $36.31 | $44.67 | $52.48 |
Medica Setting Facility Modifier None Typical Low $33.88 Median $52.48 Typical High $177.83 | Facility | None | $33.88 | $52.48 | $177.83 |
Medica Setting Professional Modifier None Typical Low $36.31 Median $56.23 Typical High $436.52 | Professional | None | $36.31 | $56.23 | $436.52 |
Midlands Setting Professional Modifier None Typical Low $36.31 Median $45.71 Typical High $52.48 | Professional | None | $36.31 | $45.71 | $52.48 |
Midlands Setting Professional Modifier None Typical Low $36.31 Median $40.74 Typical High $46.77 | Professional | None | $36.31 | $40.74 | $46.77 |
United Setting Professional Modifier None Typical Low $33.88 Median $43.65 Typical High $69.18 | Professional | None | $33.88 | $43.65 | $69.18 |
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 $8.71 Median $8.71 Typical High $8.71 | Professional | 52 · Reduced service | $8.71 | $8.71 | $8.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $3.47 Typical High $3.47 | Professional | 53 · Discontinued | $3.47 | $3.47 | $3.47 |
Where Nebraska sits
The same service costs 2.6 times more in Minnesota than in Pennsylvania. 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· 3rd of 51
$44.67
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.