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 $54.95 Median $117.49 Typical High $123.03 | Facility | None | $54.95 | $117.49 | $123.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $70.79 Typical High $144.54 | Professional | None (both parts) | $54.95 | $70.79 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $33.88 Typical High $69.18 | Professional | 26 · Professional part | $26.30 | $33.88 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $38.90 Typical High $75.86 | Professional | TC · Technical part | $28.84 | $38.90 | $75.86 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None (both parts) | $117.49 | $117.49 | $117.49 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $29.51 Typical High $66.07 | Professional | 26 · Professional part | $9.55 | $29.51 | $66.07 |
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 $45.71 Median $47.86 Typical High $51.29 | Professional | 26 · Professional part | $45.71 | $47.86 | $51.29 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $52.48 Typical High $114.82 | Professional | TC · Technical part | $50.12 | $52.48 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $602.56 | Facility | None | $338.84 | $338.84 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $141.25 Typical High $199.53 | Professional | None (both parts) | $107.15 | $141.25 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $61.66 Typical High $67.61 | Professional | 26 · Professional part | $51.29 | $61.66 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $74.13 Typical High $134.90 | Professional | TC · Technical part | $56.23 | $74.13 | $134.90 |
Medica Setting Facility Modifier None Typical Low $114.82 Median $288.40 Typical High $776.25 | Facility | None | $114.82 | $288.40 | $776.25 |
Medica Setting Professional Modifier None (both parts) Typical Low $95.50 Median $147.91 Typical High $446.68 | Professional | None (both parts) | $95.50 | $147.91 | $446.68 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $56.23 Typical High $263.03 | Professional | 26 · Professional part | $35.48 | $56.23 | $263.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $100.00 Typical High $398.11 | Professional | TC · Technical part | $57.54 | $100.00 | $398.11 |
Midlands Setting Professional Modifier None Typical Low $117.49 Median $151.36 Typical High $199.53 | Professional | None | $117.49 | $151.36 | $199.53 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $63.10 Typical High $69.18 | Professional | 26 · Professional part | $53.70 | $63.10 | $69.18 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $83.18 Typical High $134.90 | Professional | TC · Technical part | $63.10 | $83.18 | $134.90 |
Midlands Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
Midlands Setting Professional Modifier None (both parts) Typical Low $107.15 Median $131.83 Typical High $154.88 | Professional | None (both parts) | $107.15 | $131.83 | $154.88 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $29.51 Median $56.23 Typical High $112.20 | Professional | None (both parts) | $29.51 | $56.23 | $112.20 |
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 $89.13 Median $114.82 Typical High $190.55 | Professional | None (both parts) | $89.13 | $114.82 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $52.48 Typical High $72.44 | Professional | 26 · Professional part | $33.88 | $52.48 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $64.57 Typical High $120.23 | Professional | TC · Technical part | $54.95 | $64.57 | $120.23 |
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 $27.54 Median $27.54 Typical High $30.20 | Professional | 52 · Reduced service | $27.54 | $27.54 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $10.96 Typical High $12.30 | Professional | 53 · Discontinued | $10.96 | $10.96 | $12.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | FX · Film X-ray | $43.65 | $43.65 | $43.65 |
Where Nebraska sits
The same service costs 4.1 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· 7th of 51
$126
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.