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 $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $109.65 | Professional | None (both parts) | $104.71 | $104.71 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | 26 · Professional part | $38.02 | $38.02 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $75.86 | Professional | TC · Technical part | $66.07 | $66.07 | $75.86 |
BCBS Nebraska Setting Facility Modifier None Typical Low $457.09 Median $645.65 Typical High $1,202.26 | Facility | None | $457.09 | $645.65 | $1,202.26 |
BCBS Nebraska Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $72.44 Typical High $77.62 | Professional | 26 · Professional part | $67.61 | $72.44 | $77.62 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $204.17 Typical High $213.80 | Professional | TC · Technical part | $194.98 | $204.17 | $213.80 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | 26 · Professional part | $213.80 | $213.80 | $213.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $346.74 Typical High $346.74 | Professional | None (both parts) | $186.21 | $346.74 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $93.33 Typical High $100.00 | Professional | 26 · Professional part | $74.13 | $93.33 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $251.19 Typical High $251.19 | Professional | TC · Technical part | $120.23 | $251.19 | $251.19 |
Medica Setting Facility Modifier None Typical Low $93.33 Median $204.17 Typical High $812.83 | Facility | None | $93.33 | $204.17 | $812.83 |
Medica Setting Professional Modifier None (both parts) Typical Low $177.83 Median $338.84 Typical High $1,584.89 | Professional | None (both parts) | $177.83 | $338.84 | $1,584.89 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $85.11 Typical High $794.33 | Professional | 26 · Professional part | $51.29 | $85.11 | $794.33 |
Medica Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $257.04 Typical High $1,348.96 | Professional | TC · Technical part | $125.89 | $257.04 | $1,348.96 |
Midlands Setting Professional Modifier None Typical Low $251.19 Median $346.74 Typical High $346.74 | Professional | None | $251.19 | $346.74 | $346.74 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $95.50 Typical High $100.00 | Professional | 26 · Professional part | $74.13 | $95.50 | $100.00 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $251.19 Typical High $251.19 | Professional | TC · Technical part | $158.49 | $251.19 | $251.19 |
Midlands Setting Facility Modifier 26 · Professional part Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | 26 · Professional part | $213.80 | $213.80 | $213.80 |
Midlands Setting Professional Modifier None (both parts) Typical Low $251.19 Median $263.03 Typical High $389.05 | Professional | None (both parts) | $251.19 | $263.03 | $389.05 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $93.33 Typical High $97.72 | Professional | 26 · Professional part | $72.44 | $93.33 | $97.72 |
United Setting Professional Modifier None (both parts) Typical Low $177.83 Median $309.03 Typical High $426.58 | Professional | None (both parts) | $177.83 | $309.03 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $79.43 Typical High $112.20 | Professional | 26 · Professional part | $51.29 | $79.43 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $234.42 Typical High $302.00 | Professional | TC · Technical part | $125.89 | $234.42 | $302.00 |
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 $52.48 Median $52.48 Typical High $57.54 | Professional | 52 · Reduced service | $52.48 | $52.48 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $23.44 | Professional | 53 · Discontinued | $20.89 | $20.89 | $23.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $83.18 Typical High $89.13 | Professional | FX · Film X-ray | $83.18 | $83.18 | $89.13 |
Where Nebraska sits
The same service costs 5.2 times more in North Dakota 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· 6th of 51
$331
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.