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 $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $61.66 Typical High $74.13 | Professional | None (both parts) | $61.66 | $61.66 | $74.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $26.92 | Professional | 26 · Professional part | $22.39 | $22.39 | $26.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $38.90 Typical High $53.70 | Professional | TC · Technical part | $38.90 | $38.90 | $53.70 |
BCBS Nebraska Setting Facility Modifier None Typical Low $501.19 Median $645.65 Typical High $1,258.93 | Facility | None | $501.19 | $645.65 | $1,258.93 |
BCBS Nebraska Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $41.69 Typical High $43.65 | Professional | 26 · Professional part | $39.81 | $41.69 | $43.65 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $251.19 Typical High $263.03 | Professional | TC · Technical part | $245.47 | $251.19 | $263.03 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | 26 · Professional part | $138.04 | $138.04 | $138.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $389.05 Typical High $389.05 | Professional | None (both parts) | $134.90 | $389.05 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $57.54 Typical High $83.18 | Professional | 26 · Professional part | $43.65 | $57.54 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $309.03 Typical High $309.03 | Professional | TC · Technical part | $87.10 | $309.03 | $309.03 |
Medica Setting Facility Modifier None Typical Low $60.26 Median $114.82 Typical High $616.60 | Facility | None | $60.26 | $114.82 | $616.60 |
Medica Setting Professional Modifier None (both parts) Typical Low $199.53 Median $363.08 Typical High $891.25 | Professional | None (both parts) | $199.53 | $363.08 | $891.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $67.61 Typical High $346.74 | Professional | 26 · Professional part | $41.69 | $67.61 | $346.74 |
Medica Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $316.23 Typical High $812.83 | Professional | TC · Technical part | $154.88 | $316.23 | $812.83 |
Midlands Setting Professional Modifier None Typical Low $138.04 Median $389.05 Typical High $389.05 | Professional | None | $138.04 | $389.05 | $389.05 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $61.66 Typical High $83.18 | Professional | 26 · Professional part | $47.86 | $61.66 | $83.18 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $309.03 Typical High $309.03 | Professional | TC · Technical part | $87.10 | $309.03 | $309.03 |
Midlands Setting Facility Modifier 26 · Professional part Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | 26 · Professional part | $138.04 | $138.04 | $138.04 |
Midlands Setting Professional Modifier None (both parts) Typical Low $138.04 Median $275.42 Typical High $426.58 | Professional | None (both parts) | $138.04 | $275.42 | $426.58 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $53.70 Typical High $63.10 | Professional | 26 · Professional part | $42.66 | $53.70 | $63.10 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $346.74 Typical High $426.58 | Professional | None (both parts) | $199.53 | $346.74 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $47.86 Typical High $91.20 | Professional | 26 · Professional part | $41.69 | $47.86 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $295.12 Typical High $338.84 | Professional | TC · Technical part | $154.88 | $295.12 | $338.84 |
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 $30.20 Median $30.20 Typical High $38.02 | Professional | 52 · Reduced service | $30.20 | $30.20 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.30 Typical High $15.14 | Professional | 53 · Discontinued | $12.30 | $12.30 | $15.14 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $48.98 Median $48.98 Typical High $54.95 | Professional | FX · Film X-ray | $48.98 | $48.98 | $54.95 |
Where Nebraska sits
The same service costs 6.6 times more in Nebraska than in Florida. 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
$363
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.