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 $36.31 Median $40.74 Typical High $52.48 | Facility | None | $36.31 | $40.74 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $44.67 Typical High $52.48 | Professional | None | $36.31 | $44.67 | $52.48 |
Ambetter Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $134.90 | Professional | None | $114.82 | $114.82 | $134.90 |
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 $39.81 Median $72.44 Typical High $97.72 | Professional | None | $39.81 | $72.44 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $100.00 Typical High $117.49 | Professional | None | $97.72 | $100.00 | $117.49 |
Medica Setting Facility Modifier None Typical Low $53.70 Median $102.33 Typical High $223.87 | Facility | None | $53.70 | $102.33 | $223.87 |
Medica Setting Professional Modifier None Typical Low $114.82 Median $346.74 Typical High $371.54 | Professional | None | $114.82 | $346.74 | $371.54 |
Midlands Setting Professional Modifier None Typical Low $114.82 Median $117.49 Typical High $151.36 | Professional | None | $114.82 | $117.49 | $151.36 |
Midlands Setting Professional Modifier None Typical Low $100.00 Median $117.49 Typical High $151.36 | Professional | None | $100.00 | $117.49 | $151.36 |
United Setting Professional Modifier None Typical Low $91.20 Median $117.49 Typical High $151.36 | Professional | None | $91.20 | $117.49 | $151.36 |
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 $23.99 Median $26.30 Typical High $26.30 | Professional | 52 · Reduced service | $23.99 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $10.47 Typical High $10.47 | Professional | 53 · Discontinued | $9.55 | $10.47 | $10.47 |
Where Nebraska sits
The same service costs 2.6 times more in Alaska than in Arizona. 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· 12th of 51
$67.61
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.