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 $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $107.15 | Professional | None | $97.72 | $97.72 | $107.15 |
BCBS Nebraska Setting Facility Modifier None Typical Low $91.20 Median $123.03 Typical High $245.47 | Facility | None | $91.20 | $123.03 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $213.80 Typical High $257.04 | Professional | None | $208.93 | $213.80 | $257.04 |
Medica Setting Facility Modifier None Typical Low $46.77 Median $169.82 Typical High $478.63 | Facility | None | $46.77 | $169.82 | $478.63 |
Medica Setting Professional Modifier None Typical Low $165.96 Median $245.47 Typical High $660.69 | Professional | None | $165.96 | $245.47 | $660.69 |
Midlands Setting Professional Modifier None Typical Low $208.93 Median $213.80 Typical High $269.15 | Professional | None | $208.93 | $213.80 | $269.15 |
Midlands Setting Professional Modifier None Typical Low $213.80 Median $269.15 Typical High $275.42 | Professional | None | $213.80 | $269.15 | $275.42 |
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 $165.96 Median $204.17 Typical High $302.00 | Professional | None | $165.96 | $204.17 | $302.00 |
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 $48.98 Median $48.98 Typical High $52.48 | Professional | 52 · Reduced service | $48.98 | $48.98 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $20.89 | Professional | 53 · Discontinued | $19.50 | $19.50 | $20.89 |
Where Nebraska sits
The same service costs 2.7 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· 4th of 51
$209
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.