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 $6.03 Median $158.49 Typical High $190.55 | Facility | None | $6.03 | $158.49 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $7.76 | Professional | None | $6.03 | $6.03 | $7.76 |
BCBS Nebraska Setting Facility Modifier None Typical Low $22.91 Median $147.91 Typical High $309.03 | Facility | None | $22.91 | $147.91 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $10.72 Typical High $12.59 | Professional | None | $9.55 | $10.72 | $12.59 |
Medica Setting Facility Modifier None Typical Low $4.90 Median $10.00 Typical High $100.00 | Facility | None | $4.90 | $10.00 | $100.00 |
Medica Setting Professional Modifier None Typical Low $4.47 Median $10.00 Typical High $57.54 | Professional | None | $4.47 | $10.00 | $57.54 |
Midlands Setting Professional Modifier None Typical Low $8.13 Median $12.02 Typical High $14.79 | Professional | None | $8.13 | $12.02 | $14.79 |
Midlands Setting Professional Modifier None Typical Low $8.32 Median $12.02 Typical High $14.45 | Professional | None | $8.32 | $12.02 | $14.45 |
United Setting Facility Modifier None Typical Low $4.79 Median $4.79 Typical High $5.37 | Facility | None | $4.79 | $4.79 | $5.37 |
United Setting Professional Modifier None Typical Low $4.27 Median $5.01 Typical High $14.45 | Professional | None | $4.27 | $5.01 | $14.45 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier GO · Occupational therapy plan Typical Low $3.98 Median $3.98 Typical High $3.98 | Professional | GO · Occupational therapy plan | $3.98 | $3.98 | $3.98 |
Where Nebraska sits
The same service costs 2.6 times more in North Dakota than in Missouri. 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· 5th of 51
$9.55
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.