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 $19.50 Median $24.55 Typical High $102.33 | Facility | None | $19.50 | $24.55 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $30.90 Typical High $102.33 | Professional | None | $10.96 | $30.90 | $102.33 |
Ambetter Setting Professional Modifier None Typical Low $13.49 Median $17.78 Typical High $97.72 | Professional | None | $13.49 | $17.78 | $97.72 |
BCBS Nebraska Setting Facility Modifier None Typical Low $44.67 Median $64.57 Typical High $194.98 | Facility | None | $44.67 | $64.57 | $194.98 |
BCBS Nebraska Setting Professional Modifier None Typical Low $9.33 Median $16.98 Typical High $22.39 | Professional | None | $9.33 | $16.98 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $95.50 Typical High $109.65 | Professional | None | $23.99 | $95.50 | $109.65 |
Medica Setting Facility Modifier None Typical Low $69.18 Median $204.17 Typical High $389.05 | Facility | None | $69.18 | $204.17 | $389.05 |
Medica Setting Professional Modifier None Typical Low $75.86 Median $107.15 Typical High $323.59 | Professional | None | $75.86 | $107.15 | $323.59 |
Midlands Setting Professional Modifier None Typical Low $23.99 Median $95.50 Typical High $109.65 | Professional | None | $23.99 | $95.50 | $109.65 |
Midlands Setting Professional Modifier None Typical Low $22.91 Median $87.10 Typical High $128.82 | Professional | None | $22.91 | $87.10 | $128.82 |
Oscar Health Setting Facility Modifier None Typical Low $6,918.31 Median $8,128.31 Typical High $8,128.31 | Facility | None | $6,918.31 | $8,128.31 | $8,128.31 |
United Setting Professional Modifier None Typical Low $19.50 Median $64.57 Typical High $117.49 | Professional | None | $19.50 | $64.57 | $117.49 |
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 53 · Discontinued Typical Low $2.24 Median $2.95 Typical High $9.12 | Professional | 53 · Discontinued | $2.24 | $2.95 | $9.12 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | Q6 · Substitute physician, paid per time | $17.38 | $17.38 | $17.38 |
Where Nebraska sits
The same service costs 6.8 times more in Minnesota than in Georgia. 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· 41st of 51
$23.99
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.