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 $77.62 Median $89.13 Typical High $114.82 | Facility | None | $77.62 | $89.13 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $97.72 Typical High $114.82 | Professional | None | $77.62 | $97.72 | $114.82 |
Ambetter Setting Professional Modifier None Typical Low $89.13 Median $120.23 Typical High $120.23 | Professional | None | $89.13 | $120.23 | $120.23 |
BCBS Nebraska Setting Facility Modifier None Typical Low $223.87 Median $302.00 Typical High $630.96 | Facility | None | $223.87 | $302.00 | $630.96 |
BCBS Nebraska Setting Professional Modifier None Typical Low $87.10 Median $147.91 Typical High $194.98 | Professional | None | $87.10 | $147.91 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $194.98 Typical High $234.42 | Professional | None | $120.23 | $194.98 | $234.42 |
Medica Setting Facility Modifier None Typical Low $114.82 Median $218.78 Typical High $501.19 | Facility | None | $114.82 | $218.78 | $501.19 |
Medica Setting Professional Modifier None Typical Low $104.71 Median $676.08 Typical High $741.31 | Professional | None | $104.71 | $676.08 | $741.31 |
Midlands Setting Professional Modifier None Typical Low $218.78 Median $234.42 Typical High $316.23 | Professional | None | $218.78 | $234.42 | $316.23 |
Midlands Setting Professional Modifier None Typical Low $218.78 Median $251.19 Typical High $316.23 | Professional | None | $218.78 | $251.19 | $316.23 |
Oscar Health Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $223.87 | Professional | None | $104.71 | $104.71 | $223.87 |
United Setting Facility Modifier None Typical Low $269.15 Median $288.40 Typical High $363.08 | Facility | None | $269.15 | $288.40 | $363.08 |
United Setting Professional Modifier None Typical Low $104.71 Median $186.21 Typical High $281.84 | Professional | None | $104.71 | $186.21 | $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 $52.48 Median $57.54 Typical High $57.54 | Professional | 52 · Reduced service | $52.48 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $22.91 Typical High $22.91 | Professional | 53 · Discontinued | $20.89 | $22.91 | $22.91 |
Where Nebraska sits
The same service costs 2.3 times more in Alaska than in Kentucky. 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· 13th of 51
$129
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.