How much rates vary
Facilitymedian $74 · 10th to 90th $24 to $186Professionalmedian $25 · 10th to 90th $13 to $42
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 $3.47 Median $10.47 Typical High $23.99 | Facility | None | $3.47 | $10.47 | $23.99 |
Aetna Setting Professional Modifier None (both parts) Typical Low $10.47 Median $11.75 Typical High $27.54 | Professional | None (both parts) | $10.47 | $11.75 | $27.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.94 Typical High $19.50 | Professional | 26 · Professional part | $7.41 | $7.94 | $19.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.24 Median $3.89 Typical High $8.51 | Professional | TC · Technical part | $3.24 | $3.89 | $8.51 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $9.12 Median $22.39 Typical High $26.92 | Professional | None (both parts) | $9.12 | $22.39 | $26.92 |
BCBS Nebraska Setting Facility Modifier None Typical Low $40.74 Median $95.50 Typical High $204.17 | Facility | None | $40.74 | $95.50 | $204.17 |
BCBS Nebraska Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $13.49 Typical High $14.45 | Professional | 26 · Professional part | $12.88 | $13.49 | $14.45 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $5.62 Median $5.89 Typical High $6.31 | Professional | TC · Technical part | $5.62 | $5.89 | $6.31 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Cigna Setting Professional Modifier None (both parts) Typical Low $20.89 Median $26.92 Typical High $28.18 | Professional | None (both parts) | $20.89 | $26.92 | $28.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $17.78 Typical High $18.62 | Professional | 26 · Professional part | $14.13 | $17.78 | $18.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $6.31 Median $8.32 Typical High $9.55 | Professional | TC · Technical part | $6.31 | $8.32 | $9.55 |
Medica Setting Facility Modifier None Typical Low $19.95 Median $36.31 Typical High $213.80 | Facility | None | $19.95 | $36.31 | $213.80 |
Medica Setting Professional Modifier None (both parts) Typical Low $14.45 Median $24.55 Typical High $1,412.54 | Professional | None (both parts) | $14.45 | $24.55 | $1,412.54 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $16.98 Typical High $1,288.25 | Professional | 26 · Professional part | $10.00 | $16.98 | $1,288.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $4.37 Median $7.94 Typical High $977.24 | Professional | TC · Technical part | $4.37 | $7.94 | $977.24 |
Midlands Setting Professional Modifier None Typical Low $21.88 Median $28.18 Typical High $28.84 | Professional | None | $21.88 | $28.18 | $28.84 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $18.62 Typical High $19.50 | Professional | 26 · Professional part | $14.79 | $18.62 | $19.50 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $7.24 Median $9.55 Typical High $9.55 | Professional | TC · Technical part | $7.24 | $9.55 | $9.55 |
Midlands Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Midlands Setting Professional Modifier None (both parts) Typical Low $20.42 Median $24.55 Typical High $28.84 | Professional | None (both parts) | $20.42 | $24.55 | $28.84 |
United Setting Facility Modifier None Typical Low $35.48 Median $38.90 Typical High $48.98 | Facility | None | $35.48 | $38.90 | $48.98 |
United Setting Professional Modifier None (both parts) Typical Low $13.49 Median $21.88 Typical High $28.84 | Professional | None (both parts) | $13.49 | $21.88 | $28.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $15.49 Typical High $20.42 | Professional | 26 · Professional part | $9.33 | $15.49 | $20.42 |
United Setting Professional Modifier TC · Technical part Typical Low $4.07 Median $6.61 Typical High $8.71 | Professional | TC · Technical part | $4.07 | $6.61 | $8.71 |
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 $5.25 Median $5.25 Typical High $5.25 | Professional | 52 · Reduced service | $5.25 | $5.25 | $5.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.09 Median $2.09 Typical High $2.09 | Professional | 53 · Discontinued | $2.09 | $2.09 | $2.09 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | FX · Film X-ray | $8.51 | $8.51 | $8.51 |
Where Nebraska sits
The same service costs 3.9 times more in Alaska than in Florida. 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
$24.55
AK $35.48FL $9.12
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.