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 $2.04 Median $2.04 Typical High $4.47 | Facility | None | $2.04 | $2.04 | $4.47 |
Aetna Setting Professional Modifier None Typical Low $2.04 Median $2.04 Typical High $5.37 | Professional | None | $2.04 | $2.04 | $5.37 |
Ambetter Setting Professional Modifier None Typical Low $4.27 Median $4.27 Typical High $4.27 | Professional | None | $4.27 | $4.27 | $4.27 |
BCBS Nebraska Setting Facility Modifier None Typical Low $4.37 Median $5.75 Typical High $5.75 | Facility | None | $4.37 | $5.75 | $5.75 |
BCBS Nebraska Setting Professional Modifier None Typical Low $10.96 Median $11.75 Typical High $11.75 | Professional | None | $10.96 | $11.75 | $11.75 |
Cigna Setting Professional Modifier None Typical Low $2.04 Median $2.04 Typical High $2.57 | Professional | None | $2.04 | $2.04 | $2.57 |
Medica Setting Facility Modifier None Typical Low $2.24 Median $5.37 Typical High $7.24 | Facility | None | $2.24 | $5.37 | $7.24 |
Medica Setting Professional Modifier None Typical Low $1.74 Median $2.04 Typical High $5.62 | Professional | None | $1.74 | $2.04 | $5.62 |
Midlands Setting Professional Modifier None Typical Low $2.57 Median $3.02 Typical High $3.09 | Professional | None | $2.57 | $3.02 | $3.09 |
Midlands Setting Professional Modifier None Typical Low $2.82 Median $3.09 Typical High $3.47 | Professional | None | $2.82 | $3.09 | $3.47 |
United Setting Professional Modifier None Typical Low $1.95 Median $2.04 Typical High $3.09 | Professional | None | $1.95 | $2.04 | $3.09 |
5 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 $1.00 Median $1.00 Typical High $1.12 | Professional | 52 · Reduced service | $1.00 | $1.00 | $1.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.40 Median $0.40 Typical High $0.45 | Professional | 53 · Discontinued | $0.40 | $0.40 | $0.45 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.30 Median $0.30 Typical High $0.33 | Professional | 55 · Aftercare only | $0.30 | $0.30 | $0.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.20 Median $0.20 Typical High $0.22 | Professional | 56 · Pre-op care only | $0.20 | $0.20 | $0.22 |
Ambetter Setting Professional Modifier JZ · No drug discarded Typical Low $2.04 Median $2.04 Typical High $2.04 | Professional | JZ · No drug discarded | $2.04 | $2.04 | $2.04 |
Where Nebraska sits
The same service costs 2.1 times more in Wyoming than in Delaware. 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· 7th of 51
$2.45
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.