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 $74.13 Median $144.54 Typical High $218.78 | Facility | None | $74.13 | $144.54 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $83.18 Typical High $186.21 | Professional | None | $58.88 | $83.18 | $186.21 |
Ambetter Setting Professional Modifier None Typical Low $81.28 Median $131.83 Typical High $199.53 | Professional | None | $81.28 | $131.83 | $199.53 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $81.28 Median $165.96 Typical High $234.42 | Professional | 25 · Same-day visit | $81.28 | $165.96 | $234.42 |
BCBS Nebraska Setting Facility Modifier None Typical Low $109.65 Median $117.49 Typical High $117.49 | Facility | None | $109.65 | $117.49 | $117.49 |
BCBS Nebraska Setting Professional Modifier None Typical Low $67.61 Median $114.82 Typical High $151.36 | Professional | None | $67.61 | $114.82 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $186.21 Typical High $251.19 | Professional | None | $123.03 | $186.21 | $251.19 |
Medica Setting Facility Modifier None Typical Low $97.72 Median $177.83 Typical High $354.81 | Facility | None | $97.72 | $177.83 | $354.81 |
Medica Setting Professional Modifier None Typical Low $120.23 Median $234.42 Typical High $691.83 | Professional | None | $120.23 | $234.42 | $691.83 |
Medica Setting Professional Modifier 25 · Same-day visit Typical Low $162.18 Median $204.17 Typical High $263.03 | Professional | 25 · Same-day visit | $162.18 | $204.17 | $263.03 |
Midlands Setting Professional Modifier None Typical Low $144.54 Median $204.17 Typical High $295.12 | Professional | None | $144.54 | $204.17 | $295.12 |
Midlands Setting Professional Modifier None Typical Low $158.49 Median $229.09 Typical High $295.12 | Professional | None | $158.49 | $229.09 | $295.12 |
Oscar Health Setting Professional Modifier None Typical Low $93.33 Median $125.89 Typical High $151.36 | Professional | None | $93.33 | $125.89 | $151.36 |
United Setting Professional Modifier None Typical Low $87.10 Median $165.96 Typical High $263.03 | Professional | None | $87.10 | $165.96 | $263.03 |
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 $35.48 Median $40.74 Typical High $48.98 | Professional | 52 · Reduced service | $35.48 | $40.74 | $48.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.72 Median $12.02 Typical High $14.79 | Professional | 55 · Aftercare only | $10.72 | $12.02 | $14.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $8.13 Typical High $9.77 | Professional | 56 · Pre-op care only | $7.08 | $8.13 | $9.77 |
Ambetter Setting Professional Modifier FS · Shared visit Typical Low $165.96 Median $186.21 Typical High $275.42 | Professional | FS · Shared visit | $165.96 | $186.21 | $275.42 |
Ambetter Setting Professional Modifier GF · Non-physician, rural hospital Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | GF · Non-physician, rural hospital | $102.33 | $102.33 | $102.33 |
Where Nebraska sits
The same service costs 2.3 times more in Alaska than in Alabama. 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· 11th of 51
$129
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.