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 $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
Aetna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None (both parts) | $44.67 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | 26 · Professional part | $21.88 | $21.88 | $21.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $22.39 Typical High $26.30 | Professional | TC · Technical part | $22.39 | $22.39 | $26.30 |
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 $38.02 Median $39.81 Typical High $42.66 | Professional | 26 · Professional part | $38.02 | $39.81 | $42.66 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $42.66 Typical High $44.67 | Professional | TC · Technical part | $39.81 | $42.66 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $114.82 Typical High $123.03 | Professional | None (both parts) | $87.10 | $114.82 | $123.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $51.29 Typical High $56.23 | Professional | 26 · Professional part | $42.66 | $51.29 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $57.54 Typical High $67.61 | Professional | TC · Technical part | $44.67 | $57.54 | $67.61 |
Medica Setting Facility Modifier None Typical Low $83.18 Median $158.49 Typical High $338.84 | Facility | None | $83.18 | $158.49 | $338.84 |
Medica Setting Professional Modifier None (both parts) Typical Low $58.88 Median $109.65 Typical High $501.19 | Professional | None (both parts) | $58.88 | $109.65 | $501.19 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $54.95 Typical High $323.59 | Professional | 26 · Professional part | $28.84 | $54.95 | $323.59 |
Medica Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $56.23 Typical High $323.59 | Professional | TC · Technical part | $30.20 | $56.23 | $323.59 |
Midlands Setting Professional Modifier None Typical Low $91.20 Median $120.23 Typical High $123.03 | Professional | None | $91.20 | $120.23 | $123.03 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $53.70 Typical High $57.54 | Professional | 26 · Professional part | $43.65 | $53.70 | $57.54 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $63.10 Typical High $67.61 | Professional | TC · Technical part | $47.86 | $63.10 | $67.61 |
Midlands Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Midlands Setting Professional Modifier None (both parts) Typical Low $89.13 Median $107.15 Typical High $125.89 | Professional | None (both parts) | $89.13 | $107.15 | $125.89 |
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 $54.95 Median $91.20 Typical High $141.25 | Professional | None (both parts) | $54.95 | $91.20 | $141.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $44.67 Typical High $61.66 | Professional | 26 · Professional part | $26.92 | $44.67 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $47.86 Typical High $79.43 | Professional | TC · Technical part | $27.54 | $47.86 | $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 $22.39 Median $22.39 Typical High $24.55 | Professional | 52 · Reduced service | $22.39 | $22.39 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $8.91 Typical High $9.77 | Professional | 53 · Discontinued | $8.91 | $8.91 | $9.77 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | FX · Film X-ray | $35.48 | $35.48 | $35.48 |
Where Nebraska sits
The same service costs 4.5 times more in Alaska than in Utah. 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
$102
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.