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 $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $79.43 | Professional | None (both parts) | $70.79 | $70.79 | $79.43 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $31.62 Typical High $33.11 | Professional | 26 · Professional part | $29.51 | $31.62 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $38.90 Typical High $61.66 | Professional | TC · Technical part | $38.90 | $38.90 | $61.66 |
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 $54.95 Median $57.54 Typical High $61.66 | Professional | 26 · Professional part | $54.95 | $57.54 | $61.66 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $74.13 Typical High $112.20 | Professional | TC · Technical part | $70.79 | $74.13 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $181.97 Typical High $223.87 | Professional | None (both parts) | $138.04 | $181.97 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $74.13 Typical High $85.11 | Professional | 26 · Professional part | $61.66 | $74.13 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $100.00 Typical High $138.04 | Professional | TC · Technical part | $77.62 | $100.00 | $138.04 |
Medica Setting Facility Modifier None Typical Low $131.83 Median $158.49 Typical High $512.86 | Facility | None | $131.83 | $158.49 | $512.86 |
Medica Setting Professional Modifier None (both parts) Typical Low $117.49 Median $181.97 Typical High $588.84 | Professional | None (both parts) | $117.49 | $181.97 | $588.84 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $69.18 Typical High $338.84 | Professional | 26 · Professional part | $45.71 | $69.18 | $338.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $114.82 Typical High $354.81 | Professional | TC · Technical part | $70.79 | $114.82 | $354.81 |
Midlands Setting Professional Modifier None Typical Low $147.91 Median $190.55 Typical High $223.87 | Professional | None | $147.91 | $190.55 | $223.87 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $83.18 Typical High $85.11 | Professional | 26 · Professional part | $63.10 | $83.18 | $85.11 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $109.65 Typical High $138.04 | Professional | TC · Technical part | $83.18 | $109.65 | $138.04 |
Midlands Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Midlands Setting Professional Modifier None (both parts) Typical Low $144.54 Median $169.82 Typical High $194.98 | Professional | None (both parts) | $144.54 | $169.82 | $194.98 |
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 $112.20 Median $151.36 Typical High $245.47 | Professional | None (both parts) | $112.20 | $151.36 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $64.57 Typical High $91.20 | Professional | 26 · Professional part | $42.66 | $64.57 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $87.10 Typical High $151.36 | Professional | TC · Technical part | $70.79 | $87.10 | $151.36 |
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 $35.48 Median $35.48 Typical High $38.90 | Professional | 52 · Reduced service | $35.48 | $35.48 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $15.85 | Professional | 53 · Discontinued | $14.13 | $14.13 | $15.85 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | FX · Film X-ray | $56.23 | $56.23 | $56.23 |
Where Nebraska sits
The same service costs 3.7 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
$162
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.