How much rates vary
Facilitymedian $275 · 10th to 90th $135 to $447Professionalmedian $107 · 10th to 90th $66 to $263
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 $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $47.86 Typical High $120.23 | Professional | None (both parts) | $45.71 | $47.86 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $30.20 Typical High $77.62 | Professional | 26 · Professional part | $29.51 | $30.20 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $19.95 Typical High $42.66 | Professional | TC · Technical part | $16.22 | $19.95 | $42.66 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $95.50 Median $114.82 Typical High $114.82 | Professional | None (both parts) | $95.50 | $114.82 | $114.82 |
BCBS Nebraska Setting Facility Modifier None Typical Low $251.19 Median $331.13 Typical High $691.83 | Facility | None | $251.19 | $331.13 | $691.83 |
BCBS Nebraska Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $54.95 Typical High $57.54 | Professional | 26 · Professional part | $51.29 | $54.95 | $57.54 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $30.90 Typical High $74.13 | Professional | TC · Technical part | $29.51 | $30.90 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $117.49 Typical High $138.04 | Professional | None (both parts) | $89.13 | $117.49 | $138.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $70.79 Typical High $81.28 | Professional | 26 · Professional part | $57.54 | $70.79 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $41.69 Typical High $57.54 | Professional | TC · Technical part | $31.62 | $41.69 | $57.54 |
Medica Setting Facility Modifier None Typical Low $87.10 Median $158.49 Typical High $338.84 | Facility | None | $87.10 | $158.49 | $338.84 |
Medica Setting Professional Modifier None (both parts) Typical Low $66.07 Median $123.03 Typical High $660.69 | Professional | None (both parts) | $66.07 | $123.03 | $660.69 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $74.13 Typical High $338.84 | Professional | 26 · Professional part | $39.81 | $74.13 | $338.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $46.77 Typical High $407.38 | Professional | TC · Technical part | $25.12 | $46.77 | $407.38 |
Midlands Setting Professional Modifier None Typical Low $93.33 Median $123.03 Typical High $138.04 | Professional | None | $93.33 | $123.03 | $138.04 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $77.62 Typical High $81.28 | Professional | 26 · Professional part | $60.26 | $77.62 | $81.28 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $44.67 Typical High $57.54 | Professional | TC · Technical part | $34.67 | $44.67 | $57.54 |
Midlands Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Midlands Setting Professional Modifier None (both parts) Typical Low $93.33 Median $109.65 Typical High $162.18 | Professional | None (both parts) | $93.33 | $109.65 | $162.18 |
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 $60.26 Median $97.72 Typical High $169.82 | Professional | None (both parts) | $60.26 | $97.72 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $61.66 Typical High $107.15 | Professional | 26 · Professional part | $37.15 | $61.66 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $34.67 Typical High $79.43 | Professional | TC · Technical part | $23.44 | $34.67 | $79.43 |
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 $22.91 Median $22.91 Typical High $25.12 | Professional | 52 · Reduced service | $22.91 | $22.91 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.12 Typical High $10.00 | Professional | 53 · Discontinued | $9.12 | $9.12 | $10.00 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | FX · Film X-ray | $36.31 | $36.31 | $36.31 |
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
$112
AK $151TX $39.81
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.