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 $28.18 Median $28.18 Typical High $30.90 | Facility | None | $28.18 | $28.18 | $30.90 |
Aetna Setting Professional Modifier None Typical Low $28.18 Median $30.90 Typical High $30.90 | Professional | None | $28.18 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.13 Median $14.13 Typical High $15.49 | Professional | 52 · Reduced service | $14.13 | $14.13 | $15.49 |
Ambetter Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None | $58.88 | $58.88 | $58.88 |
BCBS Nebraska Setting Facility Modifier None Typical Low $72.44 Median $269.15 Typical High $562.34 | Facility | None | $72.44 | $269.15 | $562.34 |
BCBS Nebraska Setting Professional Modifier None Typical Low $20.89 Median $39.81 Typical High $53.70 | Professional | None | $20.89 | $39.81 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $40.74 Typical High $40.74 | Professional | None | $38.02 | $40.74 | $40.74 |
Medica Setting Facility Modifier None Typical Low $23.99 Median $46.77 Typical High $151.36 | Facility | None | $23.99 | $46.77 | $151.36 |
Medica Setting Professional Modifier None Typical Low $44.67 Median $154.88 Typical High $165.96 | Professional | None | $44.67 | $154.88 | $165.96 |
Midlands Setting Professional Modifier None Typical Low $38.02 Median $40.74 Typical High $87.10 | Professional | None | $38.02 | $40.74 | $87.10 |
Midlands Setting Professional Modifier None Typical Low $33.88 Median $58.88 Typical High $85.11 | Professional | None | $33.88 | $58.88 | $85.11 |
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 $36.31 Median $48.98 Typical High $64.57 | Professional | None | $36.31 | $48.98 | $64.57 |
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 $27.54 Median $30.20 Typical High $30.20 | Professional | 59 · Distinct service | $27.54 | $30.20 | $30.20 |
Where Nebraska sits
The same service costs 2.7 times more in North Dakota 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· 6th of 51
$38.02
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.