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 $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $234.42 Typical High $478.63 | Professional | None (both parts) | $181.97 | $234.42 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $107.15 Typical High $218.78 | Professional | 26 · Professional part | $83.18 | $107.15 | $218.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $128.82 Typical High $257.04 | Professional | TC · Technical part | $97.72 | $128.82 | $257.04 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | 26 · Professional part | $169.82 | $169.82 | $169.82 |
BCBS Nebraska Setting Facility Modifier None Typical Low $208.93 Median $295.12 Typical High $575.44 | Facility | None | $208.93 | $295.12 | $575.44 |
BCBS Nebraska Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $151.36 Typical High $162.18 | Professional | 26 · Professional part | $144.54 | $151.36 | $162.18 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $186.21 Typical High $194.98 | Professional | TC · Technical part | $177.83 | $186.21 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $457.09 Typical High $457.09 | Professional | None (both parts) | $346.74 | $457.09 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $199.53 Typical High $208.93 | Professional | 26 · Professional part | $158.49 | $199.53 | $208.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $239.88 Typical High $251.19 | Professional | TC · Technical part | $190.55 | $239.88 | $251.19 |
Medica Setting Facility Modifier None Typical Low $100.00 Median $346.74 Typical High $851.14 | Facility | None | $100.00 | $346.74 | $851.14 |
Medica Setting Professional Modifier None (both parts) Typical Low $223.87 Median $389.05 Typical High $1,230.27 | Professional | None (both parts) | $223.87 | $389.05 | $1,230.27 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $173.78 Typical High $575.44 | Professional | 26 · Professional part | $112.20 | $173.78 | $575.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $213.80 Typical High $707.95 | Professional | TC · Technical part | $131.83 | $213.80 | $707.95 |
Midlands Setting Professional Modifier None Typical Low $371.54 Median $457.09 Typical High $489.78 | Professional | None | $371.54 | $457.09 | $489.78 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $208.93 Typical High $218.78 | Professional | 26 · Professional part | $165.96 | $208.93 | $218.78 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $239.88 Typical High $269.15 | Professional | TC · Technical part | $204.17 | $239.88 | $269.15 |
Midlands Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
Midlands Setting Professional Modifier None (both parts) Typical Low $346.74 Median $426.58 Typical High $489.78 | Professional | None (both parts) | $346.74 | $426.58 | $489.78 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $89.13 Median $181.97 Typical High $354.81 | Professional | None (both parts) | $89.13 | $181.97 | $354.81 |
United Setting Professional Modifier None (both parts) Typical Low $223.87 Median $363.08 Typical High $489.78 | Professional | None (both parts) | $223.87 | $363.08 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $162.18 Typical High $223.87 | Professional | 26 · Professional part | $104.71 | $162.18 | $223.87 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $199.53 Typical High $263.03 | Professional | TC · Technical part | $120.23 | $199.53 | $263.03 |
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 $91.20 Median $91.20 Typical High $97.72 | Professional | 52 · Reduced service | $91.20 | $91.20 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $38.90 | Professional | 53 · Discontinued | $36.31 | $36.31 | $38.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | FX · Film X-ray | $144.54 | $144.54 | $144.54 |
Where Nebraska sits
The same service costs 5.8 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· 4th of 51
$389
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.