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 $75.86 Median $93.33 Typical High $123.03 | Facility | None | $75.86 | $93.33 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $102.33 Typical High $123.03 | Professional | None | $75.86 | $102.33 | $123.03 |
Ambetter Setting Professional Modifier None Typical Low $158.49 Median $245.47 Typical High $245.47 | Professional | None | $158.49 | $245.47 | $245.47 |
BCBS Nebraska Setting Facility Modifier None Typical Low $234.42 Median $302.00 Typical High $630.96 | Facility | None | $234.42 | $302.00 | $630.96 |
BCBS Nebraska Setting Professional Modifier None Typical Low $85.11 Median $144.54 Typical High $190.55 | Professional | None | $85.11 | $144.54 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $190.55 Typical High $257.04 | Professional | None | $134.90 | $190.55 | $257.04 |
Medica Setting Facility Modifier None Typical Low $123.03 Median $263.03 Typical High $794.33 | Facility | None | $123.03 | $263.03 | $794.33 |
Medica Setting Professional Modifier None Typical Low $117.49 Median $660.69 Typical High $812.83 | Professional | None | $117.49 | $660.69 | $812.83 |
Midlands Setting Professional Modifier None Typical Low $213.80 Median $257.04 Typical High $316.23 | Professional | None | $213.80 | $257.04 | $316.23 |
Midlands Setting Professional Modifier None Typical Low $213.80 Median $257.04 Typical High $316.23 | Professional | None | $213.80 | $257.04 | $316.23 |
Oscar Health Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $208.93 | Professional | None | $117.49 | $117.49 | $208.93 |
United Setting Facility Modifier None Typical Low $467.74 Median $501.19 Typical High $630.96 | Facility | None | $467.74 | $501.19 | $630.96 |
United Setting Professional Modifier None Typical Low $117.49 Median $190.55 Typical High $302.00 | Professional | None | $117.49 | $190.55 | $302.00 |
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 $51.29 Median $60.26 Typical High $61.66 | Professional | 52 · Reduced service | $51.29 | $60.26 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $23.99 Typical High $24.55 | Professional | 53 · Discontinued | $20.42 | $23.99 | $24.55 |
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· 18th of 51
$135
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.