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 $21.38 Median $21.38 Typical High $50.12 | Facility | None | $21.38 | $21.38 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $50.12 Typical High $120.23 | Professional | None | $21.38 | $50.12 | $120.23 |
Ambetter Setting Professional Modifier None Typical Low $31.62 Median $32.36 Typical High $40.74 | Professional | None | $31.62 | $32.36 | $40.74 |
BCBS Nebraska Setting Facility Modifier None Typical Low $70.79 Median $194.98 Typical High $407.38 | Facility | None | $70.79 | $194.98 | $407.38 |
BCBS Nebraska Setting Professional Modifier None Typical Low $18.62 Median $31.62 Typical High $41.69 | Professional | None | $18.62 | $31.62 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $83.18 Typical High $120.23 | Professional | None | $39.81 | $83.18 | $120.23 |
Medica Setting Facility Modifier None Typical Low $42.66 Median $91.20 Typical High $154.88 | Facility | None | $42.66 | $91.20 | $154.88 |
Medica Setting Professional Modifier None Typical Low $75.86 Median $138.04 Typical High $323.59 | Professional | None | $75.86 | $138.04 | $323.59 |
Midlands Setting Professional Modifier None Typical Low $46.77 Median $97.72 Typical High $138.04 | Professional | None | $46.77 | $97.72 | $138.04 |
Midlands Setting Professional Modifier None Typical Low $45.71 Median $109.65 Typical High $138.04 | Professional | None | $45.71 | $109.65 | $138.04 |
United Setting Facility Modifier None Typical Low $46.77 Median $50.12 Typical High $63.10 | Facility | None | $46.77 | $50.12 | $63.10 |
United Setting Professional Modifier None Typical Low $38.02 Median $75.86 Typical High $125.89 | Professional | None | $38.02 | $75.86 | $125.89 |
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 $10.72 Median $24.55 Typical High $24.55 | Professional | 52 · Reduced service | $10.72 | $24.55 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $9.77 Typical High $10.00 | Professional | 53 · Discontinued | $4.27 | $9.77 | $10.00 |
Where Nebraska sits
The same service costs 3.7 times more in Alaska than in Washington, DC. 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· 41st of 51
$40.74
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.