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 $19.05 Median $24.55 Typical High $74.13 | Facility | None | $19.05 | $24.55 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $28.84 Typical High $81.28 | Professional | None | $10.96 | $28.84 | $81.28 |
Ambetter Setting Professional Modifier None Typical Low $23.44 Median $46.77 Typical High $70.79 | Professional | None | $23.44 | $46.77 | $70.79 |
BCBS Nebraska Setting Facility Modifier None Typical Low $1,230.27 Median $1,659.59 Typical High $3,311.31 | Facility | None | $1,230.27 | $1,659.59 | $3,311.31 |
BCBS Nebraska Setting Professional Modifier None Typical Low $10.23 Median $16.60 Typical High $23.44 | Professional | None | $10.23 | $16.60 | $23.44 |
Cigna Setting Professional Modifier None Typical Low $23.44 Median $74.13 Typical High $87.10 | Professional | None | $23.44 | $74.13 | $87.10 |
Medica Setting Facility Modifier None Typical Low $20.42 Median $61.66 Typical High $524.81 | Facility | None | $20.42 | $61.66 | $524.81 |
Medica Setting Professional Modifier None Typical Low $48.98 Median $74.13 Typical High $245.47 | Professional | None | $48.98 | $74.13 | $245.47 |
Midlands Setting Professional Modifier None Typical Low $23.44 Median $74.13 Typical High $95.50 | Professional | None | $23.44 | $74.13 | $95.50 |
Midlands Setting Professional Modifier None Typical Low $23.44 Median $74.13 Typical High $104.71 | Professional | None | $23.44 | $74.13 | $104.71 |
Oscar Health Setting Facility Modifier None Typical Low $1,047.13 Median $1,202.26 Typical High $1,230.27 | Facility | None | $1,047.13 | $1,202.26 | $1,230.27 |
United Setting Professional Modifier None Typical Low $16.22 Median $44.67 Typical High $93.33 | Professional | None | $16.22 | $44.67 | $93.33 |
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 $5.50 Median $7.24 Typical High $16.60 | Professional | 52 · Reduced service | $5.50 | $7.24 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.19 Median $2.88 Typical High $6.76 | Professional | 53 · Discontinued | $2.19 | $2.88 | $6.76 |
Where Nebraska sits
The same service costs 2.5 times more in Kansas 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· 50th of 51
$23.44
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.