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 $57.54 Median $123.03 Typical High $128.82 | Facility | None | $57.54 | $123.03 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $74.13 Typical High $151.36 | Professional | None (both parts) | $57.54 | $74.13 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $34.67 Typical High $69.18 | Professional | 26 · Professional part | $26.30 | $34.67 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $39.81 Typical High $81.28 | Professional | TC · Technical part | $30.90 | $39.81 | $81.28 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $114.82 Median $120.23 Typical High $141.25 | Professional | None (both parts) | $114.82 | $120.23 | $141.25 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $35.48 Typical High $64.57 | Professional | 26 · Professional part | $28.84 | $35.48 | $64.57 |
BCBS Nebraska Setting Facility Modifier None Typical Low $263.03 Median $338.84 Typical High $645.65 | Facility | None | $263.03 | $338.84 | $645.65 |
BCBS Nebraska Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $48.98 Typical High $51.29 | Professional | 26 · Professional part | $45.71 | $48.98 | $51.29 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $56.23 Typical High $60.26 | Professional | TC · Technical part | $52.48 | $56.23 | $60.26 |
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 $112.20 Median $131.83 Typical High $147.91 | Professional | None (both parts) | $112.20 | $131.83 | $147.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $63.10 Typical High $67.61 | Professional | 26 · Professional part | $51.29 | $63.10 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $64.57 Typical High $79.43 | Professional | TC · Technical part | $60.26 | $64.57 | $79.43 |
Medica Setting Facility Modifier None Typical Low $123.03 Median $338.84 Typical High $645.65 | Facility | None | $123.03 | $338.84 | $645.65 |
Medica Setting Professional Modifier None (both parts) Typical Low $72.44 Median $123.03 Typical High $562.34 | Professional | None (both parts) | $72.44 | $123.03 | $562.34 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $54.95 Typical High $186.21 | Professional | 26 · Professional part | $36.31 | $54.95 | $186.21 |
Medica Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $66.07 Typical High $398.11 | Professional | TC · Technical part | $35.48 | $66.07 | $398.11 |
Midlands Setting Professional Modifier None Typical Low $117.49 Median $131.83 Typical High $151.36 | Professional | None | $117.49 | $131.83 | $151.36 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $67.61 Typical High $69.18 | Professional | 26 · Professional part | $52.48 | $67.61 | $69.18 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $64.57 Typical High $83.18 | Professional | TC · Technical part | $63.10 | $64.57 | $83.18 |
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 $114.82 Median $138.04 Typical High $151.36 | Professional | None (both parts) | $114.82 | $138.04 | $151.36 |
Oscar Health Setting Facility Modifier None Typical Low $275.42 Median $323.59 Typical High $331.13 | Facility | None | $275.42 | $323.59 | $331.13 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $28.84 Median $57.54 Typical High $112.20 | Professional | None (both parts) | $28.84 | $57.54 | $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 $72.44 Median $114.82 Typical High $181.97 | Professional | None (both parts) | $72.44 | $114.82 | $181.97 |
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 $33.88 Median $61.66 Typical High $100.00 | Professional | TC · Technical part | $33.88 | $61.66 | $100.00 |
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 $28.84 Median $28.84 Typical High $31.62 | Professional | 52 · Reduced service | $28.84 | $28.84 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $11.48 Typical High $12.88 | Professional | 53 · Discontinued | $11.48 | $11.48 | $12.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | FX · Film X-ray | $45.71 | $45.71 | $45.71 |
Where Nebraska sits
The same service costs 3.8 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· 5th 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.