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 $22.91 Median $22.91 Typical High $22.91 | Facility | None | $22.91 | $22.91 | $22.91 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $23.99 | Professional | None | $22.91 | $22.91 | $23.99 |
Ambetter Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None | $36.31 | $36.31 | $36.31 |
BCBS Nebraska Setting Facility Modifier None Typical Low $138.04 Median $194.98 Typical High $407.38 | Facility | None | $138.04 | $194.98 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $50.12 Typical High $60.26 | Professional | None | $42.66 | $50.12 | $60.26 |
Medica Setting Facility Modifier None Typical Low $18.62 Median $44.67 Typical High $109.65 | Facility | None | $18.62 | $44.67 | $109.65 |
Medica Setting Professional Modifier None Typical Low $39.81 Median $61.66 Typical High $177.83 | Professional | None | $39.81 | $61.66 | $177.83 |
Midlands Setting Professional Modifier None Typical Low $50.12 Median $51.29 Typical High $66.07 | Professional | None | $50.12 | $51.29 | $66.07 |
Midlands Setting Professional Modifier None Typical Low $44.67 Median $54.95 Typical High $64.57 | Professional | None | $44.67 | $54.95 | $64.57 |
United Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $22.39 | Facility | None | $19.95 | $19.95 | $22.39 |
United Setting Professional Modifier None Typical Low $39.81 Median $54.95 Typical High $64.57 | Professional | None | $39.81 | $54.95 | $64.57 |
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 $11.48 Median $11.48 Typical High $11.48 | Professional | 52 · Reduced service | $11.48 | $11.48 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $4.57 Typical High $4.57 | Professional | 53 · Discontinued | $4.57 | $4.57 | $4.57 |
Where Nebraska sits
The same service costs 2.6 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· 2nd of 51
$51.29
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.