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 $8.51 Median $8.51 Typical High $16.60 | Facility | None | $8.51 | $8.51 | $16.60 |
Aetna Setting Professional Modifier None Typical Low $8.51 Median $16.60 Typical High $40.74 | Professional | None | $8.51 | $16.60 | $40.74 |
Ambetter Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
BCBS Nebraska Setting Facility Modifier None Typical Low $29.51 Median $154.88 Typical High $323.59 | Facility | None | $29.51 | $154.88 | $323.59 |
BCBS Nebraska Setting Professional Modifier None Typical Low $7.59 Median $12.02 Typical High $16.98 | Professional | None | $7.59 | $12.02 | $16.98 |
Cigna Setting Professional Modifier None Typical Low $14.45 Median $23.44 Typical High $42.66 | Professional | None | $14.45 | $23.44 | $42.66 |
Medica Setting Facility Modifier None Typical Low $15.14 Median $30.90 Typical High $75.86 | Facility | None | $15.14 | $30.90 | $75.86 |
Medica Setting Professional Modifier None Typical Low $27.54 Median $45.71 Typical High $117.49 | Professional | None | $27.54 | $45.71 | $117.49 |
Midlands Setting Professional Modifier None Typical Low $15.14 Median $28.18 Typical High $46.77 | Professional | None | $15.14 | $28.18 | $46.77 |
Midlands Setting Professional Modifier None Typical Low $15.49 Median $30.90 Typical High $46.77 | Professional | None | $15.49 | $30.90 | $46.77 |
United Setting Facility Modifier None Typical Low $46.77 Median $50.12 Typical High $63.10 | Facility | None | $46.77 | $50.12 | $63.10 |
United Setting Professional Modifier None Typical Low $14.79 Median $25.12 Typical High $44.67 | Professional | None | $14.79 | $25.12 | $44.67 |
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 $4.27 Median $5.50 Typical High $8.32 | Professional | 52 · Reduced service | $4.27 | $5.50 | $8.32 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 59 · Distinct service | $30.90 | $30.90 | $30.90 |
Where Nebraska sits
The same service costs 2.3 times more in Alaska than in Louisiana. 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· 20th of 51
$16.60
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.