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 $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $208.93 Typical High $416.87 | Professional | None (both parts) | $158.49 | $208.93 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $64.57 Typical High $151.36 | Professional | 26 · Professional part | $57.54 | $64.57 | $151.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $131.83 Typical High $269.15 | Professional | TC · Technical part | $102.33 | $131.83 | $269.15 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $112.20 | Professional | 26 · Professional part | $83.18 | $83.18 | $112.20 |
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 $100.00 Median $104.71 Typical High $112.20 | Professional | 26 · Professional part | $100.00 | $104.71 | $112.20 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $186.21 Typical High $199.53 | Professional | TC · Technical part | $173.78 | $186.21 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $933.25 Typical High $933.25 | Facility | None | $602.56 | $933.25 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $316.23 Typical High $407.38 | Professional | None (both parts) | $309.03 | $316.23 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $131.83 Typical High $147.91 | Professional | 26 · Professional part | $112.20 | $131.83 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $199.53 Typical High $263.03 | Professional | TC · Technical part | $181.97 | $199.53 | $263.03 |
Medica Setting Facility Modifier None Typical Low $158.49 Median $295.12 Typical High $794.33 | Facility | None | $158.49 | $295.12 | $794.33 |
Medica Setting Professional Modifier None (both parts) Typical Low $158.49 Median $309.03 Typical High $933.25 | Professional | None (both parts) | $158.49 | $309.03 | $933.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $117.49 Typical High $363.08 | Professional | 26 · Professional part | $72.44 | $117.49 | $363.08 |
Medica Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $190.55 Typical High $575.44 | Professional | TC · Technical part | $100.00 | $190.55 | $575.44 |
Midlands Setting Professional Modifier None Typical Low $309.03 Median $316.23 Typical High $416.87 | Professional | None | $309.03 | $316.23 | $416.87 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $131.83 Typical High $154.88 | Professional | 26 · Professional part | $117.49 | $131.83 | $154.88 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $186.21 Typical High $263.03 | Professional | TC · Technical part | $181.97 | $186.21 | $263.03 |
Midlands Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
Midlands Setting Professional Modifier None (both parts) Typical Low $309.03 Median $380.19 Typical High $416.87 | Professional | None (both parts) | $309.03 | $380.19 | $416.87 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $72.44 Median $158.49 Typical High $354.81 | Professional | None (both parts) | $72.44 | $158.49 | $354.81 |
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 $158.49 Median $251.19 Typical High $346.74 | Professional | None (both parts) | $158.49 | $251.19 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $109.65 Typical High $144.54 | Professional | 26 · Professional part | $66.07 | $109.65 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $147.91 Typical High $223.87 | Professional | TC · Technical part | $93.33 | $147.91 | $223.87 |
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 $79.43 Median $79.43 Typical High $79.43 | Professional | 52 · Reduced service | $79.43 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $31.62 | $31.62 | $31.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | FX · Film X-ray | $128.82 | $128.82 | $128.82 |
Where Nebraska sits
The same service costs 4.9 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· 6th of 51
$316
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.