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 $42.66 Median $42.66 Typical High $42.66 | Facility | None | $42.66 | $42.66 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
BCBS Nebraska Setting Facility Modifier None Typical Low $173.78 Median $245.47 Typical High $467.74 | Facility | None | $173.78 | $245.47 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $89.13 Typical High $112.20 | Professional | None | $87.10 | $89.13 | $112.20 |
Medica Setting Facility Modifier None Typical Low $81.28 Median $112.20 Typical High $295.12 | Facility | None | $81.28 | $112.20 | $295.12 |
Medica Setting Professional Modifier None Typical Low $75.86 Median $112.20 Typical High $977.24 | Professional | None | $75.86 | $112.20 | $977.24 |
Midlands Setting Professional Modifier None Typical Low $95.50 Median $102.33 Typical High $134.90 | Professional | None | $95.50 | $102.33 | $134.90 |
Midlands Setting Professional Modifier None Typical Low $79.43 Median $95.50 Typical High $120.23 | Professional | None | $79.43 | $95.50 | $120.23 |
United Setting Professional Modifier None Typical Low $72.44 Median $107.15 Typical High $114.82 | Professional | None | $72.44 | $107.15 | $114.82 |
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 $21.38 Median $21.38 Typical High $21.38 | Professional | 52 · Reduced service | $21.38 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | 53 · Discontinued | $8.51 | $8.51 | $8.51 |
Where Nebraska sits
The same service costs 3.5 times more in Minnesota than in Utah. 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
$102
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.