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 $0.08 Median $0.08 Typical High $0.17 | Facility | None | $0.08 | $0.08 | $0.17 |
Aetna Setting Professional Modifier None Typical Low $0.06 Median $0.06 Typical High $0.15 | Professional | None | $0.06 | $0.06 | $0.15 |
Ambetter Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | None | $7.94 | $7.94 | $7.94 |
BCBS Nebraska Setting Facility Modifier None Typical Low $0.14 Median $0.17 Typical High $0.22 | Facility | None | $0.14 | $0.17 | $0.22 |
BCBS Nebraska Setting Professional Modifier None Typical Low $0.42 Median $0.44 Typical High $0.44 | Professional | None | $0.42 | $0.44 | $0.44 |
Cigna Setting Professional Modifier None Typical Low $0.07 Median $0.14 Typical High $0.14 | Professional | None | $0.07 | $0.14 | $0.14 |
Medica Setting Facility Modifier None Typical Low $0.08 Median $0.17 Typical High $0.66 | Facility | None | $0.08 | $0.17 | $0.66 |
Medica Setting Professional Modifier None Typical Low $0.05 Median $0.09 Typical High $1.95 | Professional | None | $0.05 | $0.09 | $1.95 |
Midlands Setting Professional Modifier None Typical Low $0.07 Median $0.08 Typical High $0.14 | Professional | None | $0.07 | $0.08 | $0.14 |
Midlands Setting Professional Modifier None Typical Low $0.07 Median $0.08 Typical High $0.23 | Professional | None | $0.07 | $0.08 | $0.23 |
United Setting Professional Modifier None Typical Low $0.08 Median $0.08 Typical High $1.82 | Professional | None | $0.08 | $0.08 | $1.82 |
3 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 $0.03 Median $0.03 Typical High $0.04 | Professional | 52 · Reduced service | $0.03 | $0.03 | $0.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.02 Median $0.02 Typical High $0.07 | Professional | 53 · Discontinued | $0.02 | $0.02 | $0.07 |
Ambetter Setting Professional Modifier JW · Drug discarded Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | JW · Drug discarded | $7.94 | $7.94 | $7.94 |
Where Nebraska sits
The same service costs 8.5 times more in Wyoming than in New Jersey. 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
$0.10
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.