How much rates vary
Facilitymedian $93 · 10th to 90th $39 to $204Professionalmedian $105 · 10th to 90th $45 to $389
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 $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
Aetna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None (both parts) | $44.67 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | 26 · Professional part | $22.39 | $22.39 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | TC · Technical part | $22.39 | $22.39 | $22.39 |
BCBS Nebraska Setting Facility Modifier None Typical Low $75.86 Median $100.00 Typical High $204.17 | Facility | None | $75.86 | $100.00 | $204.17 |
BCBS Nebraska Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $33.88 Typical High $44.67 | Professional | 26 · Professional part | $18.20 | $33.88 | $44.67 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $41.69 Typical High $54.95 | Professional | TC · Technical part | $22.39 | $41.69 | $54.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $104.71 Typical High $125.89 | Professional | None (both parts) | $79.43 | $104.71 | $125.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $52.48 Typical High $63.10 | Professional | 26 · Professional part | $38.90 | $52.48 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $52.48 Typical High $63.10 | Professional | TC · Technical part | $39.81 | $52.48 | $63.10 |
Medica Setting Facility Modifier None Typical Low $30.20 Median $87.10 Typical High $239.88 | Facility | None | $30.20 | $87.10 | $239.88 |
Medica Setting Professional Modifier None (both parts) Typical Low $56.23 Median $117.49 Typical High $389.05 | Professional | None (both parts) | $56.23 | $117.49 | $389.05 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $60.26 Typical High $194.98 | Professional | 26 · Professional part | $28.18 | $60.26 | $194.98 |
Medica Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $56.23 Typical High $194.98 | Professional | TC · Technical part | $27.54 | $56.23 | $194.98 |
Midlands Setting Professional Modifier None Typical Low $64.57 Median $109.65 Typical High $131.83 | Professional | None | $64.57 | $109.65 | $131.83 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $54.95 Typical High $64.57 | Professional | 26 · Professional part | $31.62 | $54.95 | $64.57 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $54.95 Typical High $66.07 | Professional | TC · Technical part | $32.36 | $54.95 | $66.07 |
Midlands Setting Professional Modifier None (both parts) Typical Low $63.10 Median $117.49 Typical High $131.83 | Professional | None (both parts) | $63.10 | $117.49 | $131.83 |
United Setting Facility Modifier None Typical Low $35.48 Median $38.90 Typical High $48.98 | Facility | None | $35.48 | $38.90 | $48.98 |
United Setting Professional Modifier None (both parts) Typical Low $51.29 Median $100.00 Typical High $117.49 | Professional | None (both parts) | $51.29 | $100.00 | $117.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $51.29 Typical High $60.26 | Professional | 26 · Professional part | $26.30 | $51.29 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $48.98 Typical High $57.54 | Professional | TC · Technical part | $25.70 | $48.98 | $57.54 |
2 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 $22.39 Median $22.39 Typical High $22.39 | Professional | 52 · Reduced service | $22.39 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | 53 · Discontinued | $9.12 | $9.12 | $9.12 |
Where Nebraska sits
The same service costs 4.2 times more in Nebraska than in Arkansas. 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· 1st of 51
$105
NE $105AR $25.12
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.