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 $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $123.03 | Professional | None | $46.77 | $46.77 | $123.03 |
Ambetter Setting Professional Modifier None Typical Low $74.13 Median $100.00 Typical High $100.00 | Professional | None | $74.13 | $100.00 | $100.00 |
BCBS Nebraska Setting Facility Modifier None Typical Low $12.88 Median $426.58 Typical High $891.25 | Facility | None | $12.88 | $426.58 | $891.25 |
BCBS Nebraska Setting Professional Modifier None Typical Low $39.81 Median $70.79 Typical High $93.33 | Professional | None | $39.81 | $70.79 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $104.71 Typical High $123.03 | Professional | None | $102.33 | $104.71 | $123.03 |
Medica Setting Facility Modifier None Typical Low $91.20 Median $114.82 Typical High $223.87 | Facility | None | $91.20 | $114.82 | $223.87 |
Medica Setting Professional Modifier None Typical Low $85.11 Median $125.89 Typical High $331.13 | Professional | None | $85.11 | $125.89 | $331.13 |
Midlands Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $138.04 | Professional | None | $104.71 | $104.71 | $138.04 |
Midlands Setting Professional Modifier None Typical Low $100.00 Median $125.89 Typical High $138.04 | Professional | None | $100.00 | $125.89 | $138.04 |
United Setting Facility Modifier None Typical Low $117.49 Median $125.89 Typical High $162.18 | Facility | None | $117.49 | $125.89 | $162.18 |
United Setting Professional Modifier None Typical Low $83.18 Median $100.00 Typical High $134.90 | Professional | None | $83.18 | $100.00 | $134.90 |
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 $23.44 Median $23.44 Typical High $24.55 | Professional | 52 · Reduced service | $23.44 | $23.44 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $9.33 Typical High $9.77 | Professional | 53 · Discontinued | $9.33 | $9.33 | $9.77 |
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· 9th of 51
$87.10
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.