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 $85.11 Median $97.72 Typical High $123.03 | Facility | None | $85.11 | $97.72 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $104.71 Typical High $123.03 | Professional | None | $85.11 | $104.71 | $123.03 |
Ambetter Setting Professional Modifier None Typical Low $194.98 Median $251.19 Typical High $275.42 | Professional | None | $194.98 | $251.19 | $275.42 |
BCBS Nebraska Setting Facility Modifier None Typical Low $234.42 Median $331.13 Typical High $630.96 | Facility | None | $234.42 | $331.13 | $630.96 |
BCBS Nebraska Setting Professional Modifier None Typical Low $93.33 Median $165.96 Typical High $218.78 | Professional | None | $93.33 | $165.96 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $223.87 Typical High $263.03 | Professional | None | $213.80 | $223.87 | $263.03 |
Medica Setting Facility Modifier None Typical Low $120.23 Median $223.87 Typical High $549.54 | Facility | None | $120.23 | $223.87 | $549.54 |
Medica Setting Professional Modifier None Typical Low $97.72 Median $218.78 Typical High $794.33 | Professional | None | $97.72 | $218.78 | $794.33 |
Midlands Setting Professional Modifier None Typical Low $251.19 Median $263.03 Typical High $331.13 | Professional | None | $251.19 | $263.03 | $331.13 |
Midlands Setting Professional Modifier None Typical Low $239.88 Median $269.15 Typical High $331.13 | Professional | None | $239.88 | $269.15 | $331.13 |
Oscar Health Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | None | $97.72 | $97.72 | $97.72 |
United Setting Facility Modifier None Typical Low $158.49 Median $169.82 Typical High $218.78 | Facility | None | $158.49 | $169.82 | $218.78 |
United Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $295.12 | Professional | None | $97.72 | $97.72 | $295.12 |
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 $57.54 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $57.54 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $22.91 | $24.55 | $24.55 |
Where Nebraska sits
The same service costs 2.4 times more in Alaska than in Ohio. 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· 19th of 51
$145
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.