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 $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $234.42 | Professional | None (both parts) | $89.13 | $89.13 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $95.50 | Professional | 26 · Professional part | $36.31 | $36.31 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $52.48 Typical High $138.04 | Professional | TC · Technical part | $52.48 | $52.48 | $138.04 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | 26 · Professional part | $60.26 | $60.26 | $60.26 |
BCBS Nebraska Setting Facility Modifier None Typical Low $363.08 Median $616.60 Typical High $1,202.26 | Facility | None | $363.08 | $616.60 | $1,202.26 |
BCBS Nebraska Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $66.07 Typical High $70.79 | Professional | 26 · Professional part | $64.57 | $66.07 | $70.79 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $100.00 Typical High $104.71 | Professional | TC · Technical part | $95.50 | $100.00 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $549.54 | Facility | None | $524.81 | $524.81 | $549.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $213.80 Typical High $229.09 | Professional | None (both parts) | $173.78 | $213.80 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $81.28 Typical High $93.33 | Professional | 26 · Professional part | $69.18 | $81.28 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $128.82 Typical High $147.91 | Professional | TC · Technical part | $104.71 | $128.82 | $147.91 |
Medica Setting Facility Modifier None Typical Low $165.96 Median $288.40 Typical High $549.54 | Facility | None | $165.96 | $288.40 | $549.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $112.20 Median $199.53 Typical High $758.58 | Professional | None (both parts) | $112.20 | $199.53 | $758.58 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $75.86 Typical High $269.15 | Professional | 26 · Professional part | $40.74 | $75.86 | $269.15 |
Medica Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $125.89 Typical High $501.19 | Professional | TC · Technical part | $70.79 | $125.89 | $501.19 |
Midlands Setting Professional Modifier None Typical Low $177.83 Median $229.09 Typical High $234.42 | Professional | None | $177.83 | $229.09 | $234.42 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $81.28 Typical High $93.33 | Professional | 26 · Professional part | $70.79 | $81.28 | $93.33 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $141.25 Typical High $147.91 | Professional | TC · Technical part | $107.15 | $141.25 | $147.91 |
Midlands Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Midlands Setting Professional Modifier None (both parts) Typical Low $173.78 Median $213.80 Typical High $234.42 | Professional | None (both parts) | $173.78 | $213.80 | $234.42 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $87.10 Typical High $95.50 | Professional | 26 · Professional part | $69.18 | $87.10 | $95.50 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $128.82 Typical High $141.25 | Professional | TC · Technical part | $104.71 | $128.82 | $141.25 |
United Setting Professional Modifier None (both parts) Typical Low $112.20 Median $190.55 Typical High $239.88 | Professional | None (both parts) | $112.20 | $190.55 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $72.44 Typical High $89.13 | Professional | 26 · Professional part | $40.74 | $72.44 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $114.82 Typical High $154.88 | Professional | TC · Technical part | $70.79 | $114.82 | $154.88 |
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 $44.67 Median $44.67 Typical High $48.98 | Professional | 52 · Reduced service | $44.67 | $44.67 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $17.78 Typical High $19.50 | Professional | 53 · Discontinued | $17.78 | $17.78 | $19.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $70.79 Median $70.79 Typical High $75.86 | Professional | FX · Film X-ray | $70.79 | $70.79 | $75.86 |
Where Nebraska sits
The same service costs 4.5 times more in Alaska than in Texas. 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· 3rd of 51
$209
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.