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 Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | None | $6.76 | $6.76 | $6.76 |
BCBS Nebraska Setting Facility Modifier None Typical Low $8.51 Median $11.48 Typical High $22.91 | Facility | None | $8.51 | $11.48 | $22.91 |
Cigna Setting Professional Modifier None Typical Low $6.03 Median $11.75 Typical High $14.45 | Professional | None | $6.03 | $11.75 | $14.45 |
Medica Setting Facility Modifier None Typical Low $6.61 Median $13.18 Typical High $75.86 | Facility | None | $6.61 | $13.18 | $75.86 |
Medica Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $14.45 | Professional | None | $3.02 | $3.02 | $14.45 |
Midlands Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $20.42 | Professional | None | $6.92 | $6.92 | $20.42 |
United Setting Facility Modifier None Typical Low $4.07 Median $4.79 Typical High $6.76 | Facility | None | $4.07 | $4.79 | $6.76 |
United Setting Professional Modifier None Typical Low $3.02 Median $6.03 Typical High $12.59 | Professional | None | $3.02 | $6.03 | $12.59 |
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 |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.45 Median $1.45 Typical High $1.45 | Facility | 53 · Discontinued | $1.45 | $1.45 | $1.45 |
Where Nebraska sits
The same service costs 5.2 times more in Montana than in West Virginia. 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· 23rd of 51
$6.46
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.