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 $16.60 Median $22.39 Typical High $39.81 | Facility | None | $16.60 | $22.39 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $29.51 Typical High $39.81 | Professional | None | $16.60 | $29.51 | $39.81 |
Ambetter Setting Professional Modifier None Typical Low $30.90 Median $41.69 Typical High $41.69 | Professional | None | $30.90 | $41.69 | $41.69 |
BCBS Nebraska Setting Facility Modifier None Typical Low $186.21 Median $302.00 Typical High $630.96 | Facility | None | $186.21 | $302.00 | $630.96 |
BCBS Nebraska Setting Professional Modifier None Typical Low $18.20 Median $31.62 Typical High $41.69 | Professional | None | $18.20 | $31.62 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $47.86 Typical High $85.11 | Professional | None | $41.69 | $47.86 | $85.11 |
Medica Setting Facility Modifier None Typical Low $39.81 Median $107.15 Typical High $213.80 | Facility | None | $39.81 | $107.15 | $213.80 |
Medica Setting Professional Modifier None Typical Low $41.69 Median $147.91 Typical High $275.42 | Professional | None | $41.69 | $147.91 | $275.42 |
Midlands Setting Professional Modifier None Typical Low $48.98 Median $89.13 Typical High $112.20 | Professional | None | $48.98 | $89.13 | $112.20 |
Midlands Setting Professional Modifier None Typical Low $46.77 Median $85.11 Typical High $109.65 | Professional | None | $46.77 | $85.11 | $109.65 |
Oscar Health Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $77.62 | Professional | None | $41.69 | $41.69 | $77.62 |
United Setting Facility Modifier None Typical Low $165.96 Median $177.83 Typical High $223.87 | Facility | None | $165.96 | $177.83 | $223.87 |
United Setting Professional Modifier None Typical Low $41.69 Median $45.71 Typical High $100.00 | Professional | None | $41.69 | $45.71 | $100.00 |
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 $11.22 Median $18.20 Typical High $19.50 | Professional | 52 · Reduced service | $11.22 | $18.20 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $7.24 Typical High $7.94 | Professional | 53 · Discontinued | $4.47 | $7.24 | $7.94 |
Where Nebraska sits
The same service costs 2.3 times more in Hawaii than in Washington, DC. 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· 43rd of 51
$33.11
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.