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 $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None | $87.10 | $87.10 | $87.10 |
BCBS Nebraska Setting Facility Modifier None Typical Low $1,230.27 Median $1,659.59 Typical High $3,311.31 | Facility | None | $1,230.27 | $1,659.59 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $154.88 Typical High $229.09 | Professional | None | $114.82 | $154.88 | $229.09 |
Medica Setting Facility Modifier None Typical Low $169.82 Median $208.93 Typical High $467.74 | Facility | None | $169.82 | $208.93 | $467.74 |
Medica Setting Professional Modifier None Typical Low $131.83 Median $234.42 Typical High $588.84 | Professional | None | $131.83 | $234.42 | $588.84 |
Midlands Setting Professional Modifier None Typical Low $112.20 Median $154.88 Typical High $239.88 | Professional | None | $112.20 | $154.88 | $239.88 |
Midlands Setting Professional Modifier None Typical Low $112.20 Median $208.93 Typical High $223.87 | Professional | None | $112.20 | $208.93 | $223.87 |
United Setting Professional Modifier None Typical Low $123.03 Median $218.78 Typical High $245.47 | Professional | None | $123.03 | $218.78 | $245.47 |
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 $43.65 Median $43.65 Typical High $43.65 | Professional | 52 · Reduced service | $43.65 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | 53 · Discontinued | $17.38 | $17.38 | $17.38 |
Where Nebraska sits
The same service costs 2.2 times more in Nebraska than in Texas. 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· 1st of 51
$182
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.