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 $66.07 Median $72.44 Typical High $97.72 | Facility | None | $66.07 | $72.44 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $72.44 Typical High $177.83 | Professional | None | $66.07 | $72.44 | $177.83 |
Ambetter Setting Professional Modifier None Typical Low $70.79 Median $158.49 Typical High $186.21 | Professional | None | $70.79 | $158.49 | $186.21 |
BCBS Nebraska Setting Facility Modifier None Typical Low $107.15 Median $269.15 Typical High $562.34 | Facility | None | $107.15 | $269.15 | $562.34 |
BCBS Nebraska Setting Professional Modifier None Typical Low $63.10 Median $107.15 Typical High $141.25 | Professional | None | $63.10 | $107.15 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $162.18 Typical High $199.53 | Professional | None | $131.83 | $162.18 | $199.53 |
Medica Setting Facility Modifier None Typical Low $104.71 Median $131.83 Typical High $257.04 | Facility | None | $104.71 | $131.83 | $257.04 |
Medica Setting Professional Modifier None Typical Low $100.00 Median $204.17 Typical High $524.81 | Professional | None | $100.00 | $204.17 | $524.81 |
Midlands Setting Professional Modifier None Typical Low $151.36 Median $162.18 Typical High $218.78 | Professional | None | $151.36 | $162.18 | $218.78 |
Midlands Setting Professional Modifier None Typical Low $144.54 Median $181.97 Typical High $218.78 | Professional | None | $144.54 | $181.97 | $218.78 |
United Setting Facility Modifier None Typical Low $125.89 Median $134.90 Typical High $173.78 | Facility | None | $125.89 | $134.90 | $173.78 |
United Setting Professional Modifier None Typical Low $91.20 Median $162.18 Typical High $208.93 | Professional | None | $91.20 | $162.18 | $208.93 |
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 $33.11 Median $34.67 Typical High $36.31 | Professional | 52 · Reduced service | $33.11 | $34.67 | $36.31 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $53.70 Median $70.79 Typical High $144.54 | Professional | 25 · Same-day visit | $53.70 | $70.79 | $144.54 |
Where Nebraska sits
The same service costs 2.8 times more in Alaska than in New York. 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· 8th of 51
$126
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.