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 $2.19 Median $2.19 Typical High $5.13 | Facility | None | $2.19 | $2.19 | $5.13 |
Aetna Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $5.62 | Professional | None | $2.14 | $2.14 | $5.62 |
Ambetter Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $4.47 | Professional | None | $2.14 | $2.14 | $4.47 |
BCBS Nebraska Setting Facility Modifier None Typical Low $4.57 Median $6.03 Typical High $6.17 | Facility | None | $4.57 | $6.03 | $6.17 |
BCBS Nebraska Setting Professional Modifier None Typical Low $11.75 Median $12.30 Typical High $12.30 | Professional | None | $11.75 | $12.30 | $12.30 |
Cigna Setting Professional Modifier None Typical Low $2.57 Median $2.95 Typical High $3.24 | Professional | None | $2.57 | $2.95 | $3.24 |
Medica Setting Facility Modifier None Typical Low $3.72 Median $4.27 Typical High $9.12 | Facility | None | $3.72 | $4.27 | $9.12 |
Medica Setting Professional Modifier None Typical Low $1.95 Median $2.29 Typical High $10.47 | Professional | None | $1.95 | $2.29 | $10.47 |
Midlands Setting Professional Modifier None Typical Low $2.95 Median $3.24 Typical High $3.31 | Professional | None | $2.95 | $3.24 | $3.31 |
Midlands Setting Professional Modifier None Typical Low $2.82 Median $3.31 Typical High $4.17 | Professional | None | $2.82 | $3.31 | $4.17 |
United Setting Professional Modifier None Typical Low $2.04 Median $2.19 Typical High $10.72 | Professional | None | $2.04 | $2.19 | $10.72 |
4 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 $1.07 Median $1.07 Typical High $1.15 | Professional | 52 · Reduced service | $1.07 | $1.07 | $1.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.43 Median $0.43 Typical High $0.46 | Professional | 53 · Discontinued | $0.43 | $0.43 | $0.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.32 Median $0.32 Typical High $0.35 | Professional | 55 · Aftercare only | $0.32 | $0.32 | $0.35 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.21 Median $0.21 Typical High $0.23 | Professional | 56 · Pre-op care only | $0.21 | $0.21 | $0.23 |
Where Nebraska sits
The same service costs 1.9 times more in Wyoming than in Maine. 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· 3rd of 51
$2.95
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.