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 $3.24 Median $3.24 Typical High $6.92 | Facility | None | $3.24 | $3.24 | $6.92 |
Aetna Setting Professional Modifier None Typical Low $2.88 Median $3.24 Typical High $7.59 | Professional | None | $2.88 | $3.24 | $7.59 |
Ambetter Setting Professional Modifier None Typical Low $3.24 Median $3.24 Typical High $6.76 | Professional | None | $3.24 | $3.24 | $6.76 |
BCBS Nebraska Setting Facility Modifier None Typical Low $6.92 Median $8.13 Typical High $9.12 | Facility | None | $6.92 | $8.13 | $9.12 |
BCBS Nebraska Setting Professional Modifier None Typical Low $17.38 Median $18.20 Typical High $18.20 | Professional | None | $17.38 | $18.20 | $18.20 |
Cigna Setting Professional Modifier None Typical Low $3.63 Median $4.47 Typical High $5.50 | Professional | None | $3.63 | $4.47 | $5.50 |
Medica Setting Facility Modifier None Typical Low $3.55 Median $5.62 Typical High $10.72 | Facility | None | $3.55 | $5.62 | $10.72 |
Medica Setting Professional Modifier None Typical Low $2.95 Median $3.55 Typical High $18.20 | Professional | None | $2.95 | $3.55 | $18.20 |
Midlands Setting Professional Modifier None Typical Low $4.37 Median $4.47 Typical High $5.50 | Professional | None | $4.37 | $4.47 | $5.50 |
Midlands Setting Professional Modifier None Typical Low $3.55 Median $4.79 Typical High $7.41 | Professional | None | $3.55 | $4.79 | $7.41 |
United Setting Professional Modifier None Typical Low $3.09 Median $3.24 Typical High $4.90 | Professional | None | $3.09 | $3.24 | $4.90 |
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 $1.45 Median $1.45 Typical High $1.62 | Professional | 52 · Reduced service | $1.45 | $1.45 | $1.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.58 Median $0.58 Typical High $0.65 | Professional | 53 · Discontinued | $0.58 | $0.58 | $0.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.43 Median $0.43 Typical High $0.49 | Professional | 55 · Aftercare only | $0.43 | $0.43 | $0.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.28 Median $0.28 Typical High $0.32 | Professional | 56 · Pre-op care only | $0.28 | $0.28 | $0.32 |
Ambetter Setting Professional Modifier JZ · No drug discarded Typical Low $2.88 Median $2.88 Typical High $6.03 | Professional | JZ · No drug discarded | $2.88 | $2.88 | $6.03 |
Where Nebraska sits
The same service costs 3.1 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· 2nd of 51
$3.89
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.