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 $181.97 Median $281.84 Typical High $416.87 | Facility | None | $181.97 | $281.84 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $181.97 Typical High $181.97 | Professional | None | $123.03 | $181.97 | $181.97 |
Ambetter Setting Professional Modifier None Typical Low $177.83 Median $245.47 Typical High $398.11 | Professional | None | $177.83 | $245.47 | $398.11 |
BCBS Nebraska Setting Facility Modifier None Typical Low $169.82 Median $269.15 Typical High $562.34 | Facility | None | $169.82 | $269.15 | $562.34 |
BCBS Nebraska Setting Professional Modifier None Typical Low $114.82 Median $199.53 Typical High $263.03 | Professional | None | $114.82 | $199.53 | $263.03 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $263.03 Typical High $398.11 | Professional | None | $177.83 | $263.03 | $398.11 |
Medica Setting Facility Modifier None Typical Low $190.55 Median $251.19 Typical High $630.96 | Facility | None | $190.55 | $251.19 | $630.96 |
Medica Setting Professional Modifier None Typical Low $218.78 Median $891.25 Typical High $1,288.25 | Professional | None | $218.78 | $891.25 | $1,288.25 |
Midlands Setting Professional Modifier None Typical Low $208.93 Median $398.11 Typical High $562.34 | Professional | None | $208.93 | $398.11 | $562.34 |
Midlands Setting Professional Modifier None Typical Low $120.23 Median $309.03 Typical High $446.68 | Professional | None | $120.23 | $309.03 | $446.68 |
United Setting Facility Modifier None Typical Low $165.96 Median $177.83 Typical High $223.87 | Facility | None | $165.96 | $177.83 | $223.87 |
United Setting Professional Modifier None Typical Low $151.36 Median $288.40 Typical High $457.09 | Professional | None | $151.36 | $288.40 | $457.09 |
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 52 · Reduced service Typical Low $61.66 Median $69.18 Typical High $91.20 | Professional | 52 · Reduced service | $61.66 | $69.18 | $91.20 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $229.09 Median $245.47 Typical High $426.58 | Professional | 25 · Same-day visit | $229.09 | $245.47 | $426.58 |
Where Nebraska sits
The same service costs 2.8 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· 13th of 51
$200
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.