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 $21.88 Median $69.18 Typical High $162.18 | Facility | None | $21.88 | $69.18 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $53.70 | Professional | None | $21.88 | $21.88 | $53.70 |
Ambetter Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $54.95 | Professional | None | $34.67 | $34.67 | $54.95 |
BCBS Nebraska Setting Facility Modifier None Typical Low $173.78 Median $229.09 Typical High $467.74 | Facility | None | $173.78 | $229.09 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $52.48 Typical High $63.10 | Professional | None | $40.74 | $52.48 | $63.10 |
Medica Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $102.33 | Facility | None | $42.66 | $42.66 | $102.33 |
Medica Setting Professional Modifier None Typical Low $34.67 Median $61.66 Typical High $151.36 | Professional | None | $34.67 | $61.66 | $151.36 |
Midlands Setting Professional Modifier None Typical Low $46.77 Median $57.54 Typical High $63.10 | Professional | None | $46.77 | $57.54 | $63.10 |
Midlands Setting Professional Modifier None Typical Low $45.71 Median $51.29 Typical High $58.88 | Professional | None | $45.71 | $51.29 | $58.88 |
United Setting Professional Modifier None Typical Low $32.36 Median $54.95 Typical High $66.07 | Professional | None | $32.36 | $54.95 | $66.07 |
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 $10.96 Median $10.96 Typical High $10.96 | Professional | 52 · Reduced service | $10.96 | $10.96 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $4.37 Typical High $4.37 | Professional | 53 · Discontinued | $4.37 | $4.37 | $4.37 |
Where Nebraska sits
The same service costs 2.8 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· 3rd of 51
$52.48
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.