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 $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $52.48 | Professional | None | $40.74 | $40.74 | $52.48 |
Ambetter Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
BCBS Nebraska Setting Facility Modifier None Typical Low $91.20 Median $123.03 Typical High $245.47 | Facility | None | $91.20 | $123.03 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $91.20 Typical High $107.15 | Professional | None | $79.43 | $91.20 | $107.15 |
Medica Setting Facility Modifier None Typical Low $46.77 Median $83.18 Typical High $208.93 | Facility | None | $46.77 | $83.18 | $208.93 |
Medica Setting Professional Modifier None Typical Low $64.57 Median $120.23 Typical High $346.74 | Professional | None | $64.57 | $120.23 | $346.74 |
Midlands Setting Professional Modifier None Typical Low $79.43 Median $107.15 Typical High $128.82 | Professional | None | $79.43 | $107.15 | $128.82 |
Midlands Setting Professional Modifier None Typical Low $79.43 Median $104.71 Typical High $128.82 | Professional | None | $79.43 | $104.71 | $128.82 |
United Setting Facility Modifier None Typical Low $46.77 Median $50.12 Typical High $63.10 | Facility | None | $46.77 | $50.12 | $63.10 |
United Setting Professional Modifier None Typical Low $63.10 Median $107.15 Typical High $138.04 | Professional | None | $63.10 | $107.15 | $138.04 |
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 $20.42 Median $20.42 Typical High $21.38 | Professional | 52 · Reduced service | $20.42 | $20.42 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $8.13 Typical High $8.51 | Professional | 53 · Discontinued | $8.13 | $8.13 | $8.51 |
Where Nebraska sits
The same service costs 2.6 times more in Nebraska 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· 1st of 51
$105
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.