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 $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $125.89 Typical High $269.15 | Professional | None (both parts) | $102.33 | $125.89 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $30.90 Typical High $75.86 | Professional | 26 · Professional part | $28.84 | $30.90 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $95.50 Typical High $194.98 | Professional | TC · Technical part | $74.13 | $95.50 | $194.98 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $57.54 | Professional | 26 · Professional part | $40.74 | $40.74 | $57.54 |
BCBS Nebraska Setting Facility Modifier None Typical Low $257.04 Median $331.13 Typical High $691.83 | Facility | None | $257.04 | $331.13 | $691.83 |
BCBS Nebraska Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $53.70 Typical High $57.54 | Professional | 26 · Professional part | $51.29 | $53.70 | $57.54 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $141.25 Typical High $151.36 | Professional | TC · Technical part | $131.83 | $141.25 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $257.04 Typical High $263.03 | Professional | None (both parts) | $199.53 | $257.04 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $70.79 Typical High $74.13 | Professional | 26 · Professional part | $56.23 | $70.79 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $181.97 Typical High $190.55 | Professional | TC · Technical part | $144.54 | $181.97 | $190.55 |
Medica Setting Facility Modifier None Typical Low $131.83 Median $263.03 Typical High $758.58 | Facility | None | $131.83 | $263.03 | $758.58 |
Medica Setting Professional Modifier None (both parts) Typical Low $128.82 Median $223.87 Typical High $741.31 | Professional | None (both parts) | $128.82 | $223.87 | $741.31 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $61.66 Typical High $1,548.82 | Professional | 26 · Professional part | $39.81 | $61.66 | $1,548.82 |
Medica Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $165.96 Typical High $549.54 | Professional | TC · Technical part | $100.00 | $165.96 | $549.54 |
Midlands Setting Professional Modifier None Typical Low $208.93 Median $257.04 Typical High $269.15 | Professional | None | $208.93 | $257.04 | $269.15 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $74.13 Typical High $74.13 | Professional | 26 · Professional part | $57.54 | $74.13 | $74.13 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $181.97 Typical High $194.98 | Professional | TC · Technical part | $151.36 | $181.97 | $194.98 |
Midlands Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Midlands Setting Professional Modifier None (both parts) Typical Low $169.82 Median $251.19 Typical High $269.15 | Professional | None (both parts) | $169.82 | $251.19 | $269.15 |
United Setting Facility Modifier None Typical Low $128.82 Median $138.04 Typical High $177.83 | Facility | None | $128.82 | $138.04 | $177.83 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $213.80 Typical High $275.42 | Professional | None (both parts) | $128.82 | $213.80 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $57.54 Typical High $79.43 | Professional | 26 · Professional part | $37.15 | $57.54 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $154.88 Typical High $199.53 | Professional | TC · Technical part | $91.20 | $154.88 | $199.53 |
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 $51.29 Median $51.29 Typical High $57.54 | Professional | 52 · Reduced service | $51.29 | $51.29 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.42 Typical High $23.44 | Professional | 53 · Discontinued | $20.42 | $20.42 | $23.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | FX · Film X-ray | $83.18 | $83.18 | $83.18 |
Where Nebraska sits
The same service costs 3.9 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· 4th of 51
$240
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.