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 $223.87 Median $691.83 Typical High $1,659.59 | Facility | None | $223.87 | $691.83 | $1,659.59 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None | $223.87 | $223.87 | $223.87 |
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 $407.38 Median $524.81 Typical High $776.25 | Professional | None | $407.38 | $524.81 | $776.25 |
Medica Setting Facility Modifier None Typical Low $162.18 Median $213.80 Typical High $1,548.82 | Facility | None | $162.18 | $213.80 | $1,548.82 |
Medica Setting Professional Modifier None Typical Low $52.48 Median $562.34 Typical High $1,258.93 | Professional | None | $52.48 | $562.34 | $1,258.93 |
Midlands Setting Professional Modifier None Typical Low $501.19 Median $630.96 Typical High $776.25 | Professional | None | $501.19 | $630.96 | $776.25 |
Midlands Setting Professional Modifier None Typical Low $457.09 Median $537.03 Typical High $630.96 | Professional | None | $457.09 | $537.03 | $630.96 |
United Setting Facility Modifier None Typical Low $165.96 Median $177.83 Typical High $223.87 | Facility | None | $165.96 | $177.83 | $223.87 |
United Setting Professional Modifier None Typical Low $52.48 Median $109.65 Typical High $562.34 | Professional | None | $52.48 | $109.65 | $562.34 |
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 $109.65 Median $109.65 Typical High $109.65 | Professional | 52 · Reduced service | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 53 · Discontinued | $44.67 | $44.67 | $44.67 |
Where Nebraska sits
The same service costs 13.5 times more in Minnesota than in Indiana. 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
$457
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.