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 $18.20 Median $18.20 Typical High $18.20 | Facility | None | $18.20 | $18.20 | $18.20 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $20.89 | Professional | None | $18.20 | $18.20 | $20.89 |
Ambetter Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
BCBS Setting Facility Modifier None Typical Low $173.78 Median $229.09 Typical High $467.74 | Facility | None | $173.78 | $229.09 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $36.31 Typical High $47.86 | Professional | None | $26.92 | $36.31 | $47.86 |
Medica Setting Facility Modifier None Typical Low $28.18 Median $93.33 Typical High $213.80 | Facility | None | $28.18 | $93.33 | $213.80 |
Medica Setting Professional Modifier None Typical Low $19.05 Median $43.65 Typical High $120.23 | Professional | None | $19.05 | $43.65 | $120.23 |
Midlands Setting Professional Modifier None Typical Low $26.92 Median $36.31 Typical High $52.48 | Professional | None | $26.92 | $36.31 | $52.48 |
Midlands Setting Professional Modifier None Typical Low $26.92 Median $42.66 Typical High $52.48 | Professional | None | $26.92 | $42.66 | $52.48 |
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 $19.05 Median $37.15 Typical High $46.77 | Professional | None | $19.05 | $37.15 | $46.77 |
5 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 $9.12 Median $9.12 Typical High $9.77 | Professional | 52 · Reduced service | $9.12 | $9.12 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $3.63 Typical High $3.89 | Professional | 53 · Discontinued | $3.63 | $3.63 | $3.89 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | 59 · Distinct service | $48.98 | $48.98 | $48.98 |
Ambetter Setting Professional Modifier GO · Occupational therapy plan Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | GO · Occupational therapy plan | $15.85 | $15.85 | $15.85 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $15.85 Median $15.85 Typical High $48.98 | Professional | GP · Physical therapy plan | $15.85 | $15.85 | $48.98 |
Where Nebraska sits
The same service costs 2.3 times more in North Dakota 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· 4th of 51
$36.31
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.