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 $7.24 Median $7.24 Typical High $7.24 | Facility | None | $7.24 | $7.24 | $7.24 |
Aetna Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $17.78 | Professional | None | $7.24 | $7.24 | $17.78 |
BCBS Nebraska Setting Facility Modifier None Typical Low $14.45 Median $223.87 Typical High $467.74 | Facility | None | $14.45 | $223.87 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $13.49 Typical High $19.05 | Professional | None | $13.18 | $13.49 | $19.05 |
Medica Setting Facility Modifier None Typical Low $7.94 Median $14.13 Typical High $177.83 | Facility | None | $7.94 | $14.13 | $177.83 |
Medica Setting Professional Modifier None Typical Low $12.88 Median $19.50 Typical High $177.83 | Professional | None | $12.88 | $19.50 | $177.83 |
Midlands Setting Professional Modifier None Typical Low $15.49 Median $16.22 Typical High $20.89 | Professional | None | $15.49 | $16.22 | $20.89 |
Midlands Setting Professional Modifier None Typical Low $12.30 Median $16.22 Typical High $20.42 | Professional | None | $12.30 | $16.22 | $20.42 |
United Setting Professional Modifier None Typical Low $12.88 Median $18.20 Typical High $20.42 | Professional | None | $12.88 | $18.20 | $20.42 |
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 $3.63 Median $3.63 Typical High $3.63 | Professional | 52 · Reduced service | $3.63 | $3.63 | $3.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.45 Median $1.45 Typical High $1.45 | Professional | 53 · Discontinued | $1.45 | $1.45 | $1.45 |
Where Nebraska sits
The same service costs 2.6 times more in Alaska than in New York. 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
$15.85
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.