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 $28.84 Median $28.84 Typical High $47.86 | Facility | None | $28.84 | $28.84 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $41.69 Typical High $47.86 | Professional | None | $28.84 | $41.69 | $47.86 |
Ambetter Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None | $69.18 | $69.18 | $69.18 |
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 |
BCBS Nebraska Setting Professional Modifier None Typical Low $23.99 Median $41.69 Typical High $54.95 | Professional | None | $23.99 | $41.69 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $74.13 Typical High $100.00 | Professional | None | $53.70 | $74.13 | $100.00 |
Medica Setting Facility Modifier None Typical Low $48.98 Median $87.10 Typical High $138.04 | Facility | None | $48.98 | $87.10 | $138.04 |
Medica Setting Professional Modifier None Typical Low $61.66 Median $194.98 Typical High $309.03 | Professional | None | $61.66 | $194.98 | $309.03 |
Midlands Setting Professional Modifier None Typical Low $46.77 Median $74.13 Typical High $138.04 | Professional | None | $46.77 | $74.13 | $138.04 |
Midlands Setting Professional Modifier None Typical Low $52.48 Median $89.13 Typical High $114.82 | Professional | None | $52.48 | $89.13 | $114.82 |
United Setting Professional Modifier None Typical Low $38.90 Median $66.07 Typical High $123.03 | Professional | None | $38.90 | $66.07 | $123.03 |
3 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 $14.45 Median $20.89 Typical High $23.99 | Professional | 52 · Reduced service | $14.45 | $20.89 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $8.91 Typical High $9.55 | Professional | 53 · Discontinued | $5.75 | $8.91 | $9.55 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | GP · Physical therapy plan | $40.74 | $40.74 | $40.74 |
Where Nebraska sits
The same service costs 4.5 times more in Alaska than in Indiana. 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· 26th of 51
$45.71
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.