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 $0.69 Median $1.23 Typical High $1.70 | Facility | None | $0.69 | $1.23 | $1.70 |
Aetna Setting Professional Modifier None Typical Low $0.69 Median $0.76 Typical High $1.70 | Professional | None | $0.69 | $0.76 | $1.70 |
BCBS Nebraska Setting Facility Modifier None Typical Low $0.65 Median $0.78 Typical High $0.85 | Facility | None | $0.65 | $0.78 | $0.85 |
BCBS Nebraska Setting Professional Modifier None Typical Low $0.74 Median $0.78 Typical High $0.78 | Professional | None | $0.74 | $0.78 | $0.78 |
Cigna Setting Facility Modifier None Typical Low $1.02 Median $1.02 Typical High $1.02 | Facility | None | $1.02 | $1.02 | $1.02 |
Cigna Setting Professional Modifier None Typical Low $0.76 Median $0.79 Typical High $0.98 | Professional | None | $0.76 | $0.79 | $0.98 |
Medica Setting Facility Modifier None Typical Low $1.62 Median $2.95 Typical High $8.13 | Facility | None | $1.62 | $2.95 | $8.13 |
Medica Setting Professional Modifier None Typical Low $0.66 Median $0.89 Typical High $1.35 | Professional | None | $0.66 | $0.89 | $1.35 |
Midlands Setting Professional Modifier None Typical Low $0.91 Median $0.91 Typical High $1.26 | Professional | None | $0.91 | $0.91 | $1.26 |
United Setting Professional Modifier None Typical Low $0.66 Median $0.69 Typical High $1.95 | Professional | None | $0.66 | $0.69 | $1.95 |
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 JZ · No drug discarded Typical Low $1.17 Median $1.17 Typical High $1.17 | Professional | JZ · No drug discarded | $1.17 | $1.17 | $1.17 |
Where Nebraska sits
The same service costs 5.2 times more in Vermont than in Rhode Island. 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· 34th of 51
$0.79
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.