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 $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $104.71 | Professional | None | $100.00 | $100.00 | $104.71 |
BCBS Nebraska Setting Facility Modifier None Typical Low $660.69 Median $954.99 Typical High $1,862.09 | Facility | None | $660.69 | $954.99 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $239.88 Typical High $263.03 | Professional | None | $208.93 | $239.88 | $263.03 |
Medica Setting Facility Modifier None Typical Low $165.96 Median $478.63 Typical High $1,698.24 | Facility | None | $165.96 | $478.63 | $1,698.24 |
Medica Setting Professional Modifier None Typical Low $169.82 Median $257.04 Typical High $691.83 | Professional | None | $169.82 | $257.04 | $691.83 |
Midlands Setting Professional Modifier None Typical Low $213.80 Median $239.88 Typical High $245.47 | Professional | None | $213.80 | $239.88 | $245.47 |
Midlands Setting Professional Modifier None Typical Low $213.80 Median $223.87 Typical High $316.23 | Professional | None | $213.80 | $223.87 | $316.23 |
Oscar Health Setting Professional Modifier None Typical Low $316.23 Median $323.59 Typical High $323.59 | Professional | None | $316.23 | $323.59 | $323.59 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $1,148.15 Typical High $1,445.44 | Facility | None | $1,071.52 | $1,148.15 | $1,445.44 |
United Setting Professional Modifier None Typical Low $169.82 Median $213.80 Typical High $281.84 | Professional | None | $169.82 | $213.80 | $281.84 |
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 $50.12 Median $50.12 Typical High $52.48 | Professional | 52 · Reduced service | $50.12 | $50.12 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $20.89 | Professional | 53 · Discontinued | $19.95 | $19.95 | $20.89 |
Where Nebraska sits
The same service costs 3.2 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
$240
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.