How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $11.22 Median $11.22 Typical High $13.18 | Facility | None | $11.22 | $11.22 | $13.18 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $13.18 Typical High $14.45 | Professional | None | $11.22 | $13.18 | $14.45 |
Ambetter Setting Professional Modifier None Typical Low $26.30 Median $31.62 Typical High $34.67 | Professional | None | $26.30 | $31.62 | $34.67 |
BCBS Nebraska Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $23.99 | Facility | None | $20.42 | $20.42 | $23.99 |
BCBS Nebraska Setting Professional Modifier None Typical Low $10.47 Median $18.20 Typical High $23.99 | Professional | None | $10.47 | $18.20 | $23.99 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $28.84 Typical High $36.31 | Professional | None | $24.55 | $28.84 | $36.31 |
Medica Setting Facility Modifier None Typical Low $13.18 Median $23.44 Typical High $57.54 | Facility | None | $13.18 | $23.44 | $57.54 |
Medica Setting Professional Modifier None Typical Low $17.78 Median $36.31 Typical High $93.33 | Professional | None | $17.78 | $36.31 | $93.33 |
Midlands Setting Professional Modifier None Typical Low $25.12 Median $28.84 Typical High $38.90 | Professional | None | $25.12 | $28.84 | $38.90 |
Midlands Setting Professional Modifier None Typical Low $25.12 Median $30.90 Typical High $39.81 | Professional | None | $25.12 | $30.90 | $39.81 |
United Setting Professional Modifier None Typical Low $15.14 Median $27.54 Typical High $37.15 | Professional | None | $15.14 | $27.54 | $37.15 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | GC · Resident with teaching physician | $34.67 | $34.67 | $34.67 |
Where Nebraska sits
The same service costs 2.9 times more in Alaska 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· 9th of 51
$20.42
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.