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 $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $53.70 Typical High $89.13 | Professional | None (both parts) | $53.70 | $53.70 | $89.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $44.67 | Professional | 26 · Professional part | $34.67 | $34.67 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $19.50 Typical High $54.95 | Professional | TC · Technical part | $19.50 | $19.50 | $54.95 |
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 $60.26 Median $63.10 Typical High $67.61 | Professional | 26 · Professional part | $60.26 | $63.10 | $67.61 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $38.02 Typical High $91.20 | Professional | TC · Technical part | $35.48 | $38.02 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Facility | None | $323.59 | $323.59 | $323.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $138.04 Typical High $154.88 | Professional | None (both parts) | $107.15 | $138.04 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $83.18 Typical High $87.10 | Professional | 26 · Professional part | $67.61 | $83.18 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $50.12 Typical High $69.18 | Professional | TC · Technical part | $38.90 | $50.12 | $69.18 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $158.49 Typical High $354.81 | Facility | None | $102.33 | $158.49 | $354.81 |
Medica Setting Professional Modifier None (both parts) Typical Low $77.62 Median $144.54 Typical High $691.83 | Professional | None (both parts) | $77.62 | $144.54 | $691.83 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $85.11 Typical High $302.00 | Professional | 26 · Professional part | $45.71 | $85.11 | $302.00 |
Medica Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $57.54 Typical High $446.68 | Professional | TC · Technical part | $30.90 | $57.54 | $446.68 |
Midlands Setting Professional Modifier None Typical Low $112.20 Median $144.54 Typical High $154.88 | Professional | None | $112.20 | $144.54 | $154.88 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $85.11 Typical High $89.13 | Professional | 26 · Professional part | $69.18 | $85.11 | $89.13 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $54.95 Typical High $69.18 | Professional | TC · Technical part | $42.66 | $54.95 | $69.18 |
Midlands Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Facility | None | $323.59 | $323.59 | $323.59 |
Midlands Setting Professional Modifier None (both parts) Typical Low $109.65 Median $128.82 Typical High $190.55 | Professional | None (both parts) | $109.65 | $128.82 | $190.55 |
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 $70.79 Median $114.82 Typical High $186.21 | Professional | None (both parts) | $70.79 | $114.82 | $186.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $70.79 Typical High $107.15 | Professional | 26 · Professional part | $42.66 | $70.79 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $42.66 Typical High $93.33 | Professional | TC · Technical part | $28.18 | $42.66 | $93.33 |
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 $26.92 Median $26.92 Typical High $29.51 | Professional | 52 · Reduced service | $26.92 | $26.92 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $10.72 Typical High $11.75 | Professional | 53 · Discontinued | $10.72 | $10.72 | $11.75 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | FX · Film X-ray | $43.65 | $43.65 | $43.65 |
Where Nebraska sits
The same service costs 3.8 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· 5th of 51
$126
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.