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 $13.18 Median $13.18 Typical High $13.18 | Facility | None | $13.18 | $13.18 | $13.18 |
Aetna Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $32.36 | Professional | None | $13.18 | $13.18 | $32.36 |
Ambetter Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
BCBS Nebraska Setting Facility Modifier None Typical Low $30.20 Median $173.78 Typical High $363.08 | Facility | None | $30.20 | $173.78 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $17.38 Median $26.30 Typical High $34.67 | Professional | None | $17.38 | $26.30 | $34.67 |
Medica Setting Facility Modifier None Typical Low $25.12 Median $30.90 Typical High $79.43 | Facility | None | $25.12 | $30.90 | $79.43 |
Medica Setting Professional Modifier None Typical Low $26.30 Median $35.48 Typical High $173.78 | Professional | None | $26.30 | $35.48 | $173.78 |
Midlands Setting Professional Modifier None Typical Low $19.05 Median $26.30 Typical High $40.74 | Professional | None | $19.05 | $26.30 | $40.74 |
Midlands Setting Professional Modifier None Typical Low $19.05 Median $31.62 Typical High $38.02 | Professional | None | $19.05 | $31.62 | $38.02 |
United Setting Professional Modifier None Typical Low $25.70 Median $33.11 Typical High $41.69 | Professional | None | $25.70 | $33.11 | $41.69 |
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 59 · Distinct service Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | 59 · Distinct service | $12.02 | $12.02 | $12.02 |
Where Nebraska sits
The same service costs 3.2 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· 4th of 51
$28.84
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.