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 $102.33 Median $218.78 Typical High $229.09 | Facility | None | $102.33 | $218.78 | $229.09 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $77.62 Median $162.18 Typical High $239.88 | Facility | TC · Technical part | $77.62 | $162.18 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $134.90 Typical High $269.15 | Professional | None (both parts) | $102.33 | $134.90 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $33.88 Typical High $67.61 | Professional | 26 · Professional part | $25.70 | $33.88 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $100.00 Typical High $204.17 | Professional | TC · Technical part | $77.62 | $100.00 | $204.17 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $112.20 Median $177.83 Typical High $251.19 | Professional | None (both parts) | $112.20 | $177.83 | $251.19 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $48.98 Typical High $63.10 | Professional | 26 · Professional part | $28.18 | $48.98 | $63.10 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $60.26 Typical High $190.55 | Professional | TC · Technical part | $51.29 | $60.26 | $190.55 |
BCBS Nebraska Setting Facility Modifier None Typical Low $257.04 Median $338.84 Typical High $691.83 | Facility | None | $257.04 | $338.84 | $691.83 |
BCBS Nebraska Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $47.86 Typical High $50.12 | Professional | 26 · Professional part | $44.67 | $47.86 | $50.12 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $144.54 Typical High $154.88 | Professional | TC · Technical part | $131.83 | $144.54 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $257.04 Typical High $263.03 | Professional | None (both parts) | $199.53 | $257.04 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $61.66 Typical High $66.07 | Professional | 26 · Professional part | $50.12 | $61.66 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $190.55 Typical High $194.98 | Professional | TC · Technical part | $151.36 | $190.55 | $194.98 |
Medica Setting Facility Modifier None Typical Low $239.88 Median $575.44 Typical High $794.33 | Facility | None | $239.88 | $575.44 | $794.33 |
Medica Setting Professional Modifier None (both parts) Typical Low $128.82 Median $218.78 Typical High $724.44 | Professional | None (both parts) | $128.82 | $218.78 | $724.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $53.70 Typical High $257.04 | Professional | 26 · Professional part | $35.48 | $53.70 | $257.04 |
Medica Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $165.96 Typical High $549.54 | Professional | TC · Technical part | $104.71 | $165.96 | $549.54 |
Midlands Setting Professional Modifier None Typical Low $208.93 Median $257.04 Typical High $269.15 | Professional | None | $208.93 | $257.04 | $269.15 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $64.57 Typical High $67.61 | Professional | 26 · Professional part | $51.29 | $64.57 | $67.61 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $190.55 Typical High $204.17 | Professional | TC · Technical part | $154.88 | $190.55 | $204.17 |
Midlands Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Midlands Setting Professional Modifier None (both parts) Typical Low $199.53 Median $245.47 Typical High $269.15 | Professional | None (both parts) | $199.53 | $245.47 | $269.15 |
Oscar Health Setting Facility Modifier None Typical Low $323.59 Median $537.03 Typical High $630.96 | Facility | None | $323.59 | $537.03 | $630.96 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $27.54 Median $91.20 Typical High $194.98 | Professional | None (both parts) | $27.54 | $91.20 | $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 $128.82 Median $208.93 Typical High $281.84 | Professional | None (both parts) | $128.82 | $208.93 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $51.29 Typical High $70.79 | Professional | 26 · Professional part | $33.11 | $51.29 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $158.49 Typical High $208.93 | Professional | TC · Technical part | $97.72 | $158.49 | $208.93 |
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 $51.29 Median $51.29 Typical High $57.54 | Professional | 52 · Reduced service | $51.29 | $51.29 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.42 Typical High $22.91 | Professional | 53 · Discontinued | $20.42 | $20.42 | $22.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | FX · Film X-ray | $81.28 | $81.28 | $81.28 |
Where Nebraska sits
The same service costs 4.1 times more in Minnesota 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· 7th of 51
$224
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.