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 $26.30 Median $26.30 Typical High $34.67 | Facility | None | $26.30 | $26.30 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $34.67 Typical High $85.11 | Professional | None | $26.30 | $34.67 | $85.11 |
Ambetter Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $81.28 | Professional | None | $38.90 | $38.90 | $81.28 |
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 $25.12 Median $42.66 Typical High $56.23 | Professional | None | $25.12 | $42.66 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $77.62 Typical High $97.72 | Professional | None | $53.70 | $77.62 | $97.72 |
Medica Setting Facility Modifier None Typical Low $34.67 Median $61.66 Typical High $134.90 | Facility | None | $34.67 | $61.66 | $134.90 |
Medica Setting Professional Modifier None Typical Low $47.86 Median $97.72 Typical High $251.19 | Professional | None | $47.86 | $97.72 | $251.19 |
Midlands Setting Professional Modifier None Typical Low $61.66 Median $77.62 Typical High $104.71 | Professional | None | $61.66 | $77.62 | $104.71 |
Midlands Setting Professional Modifier None Typical Low $58.88 Median $83.18 Typical High $104.71 | Professional | None | $58.88 | $83.18 | $104.71 |
United Setting Professional Modifier None Typical Low $37.15 Median $70.79 Typical High $100.00 | Professional | None | $37.15 | $70.79 | $100.00 |
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 $13.18 Median $15.14 Typical High $17.38 | Professional | 52 · Reduced service | $13.18 | $15.14 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $6.03 Typical High $7.08 | Professional | 53 · Discontinued | $5.25 | $6.03 | $7.08 |
Ambetter Setting Professional Modifier 24 · Unrelated visit after surgery Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 24 · Unrelated visit after surgery | $70.79 | $70.79 | $70.79 |
Where Nebraska sits
The same service costs 2.4 times more in Alaska than in New Jersey. 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· 12th of 51
$50.12
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.