How much rates vary
Facilitymedian $295 · 10th to 90th $145 to $1,950Professionalmedian $158 · 10th to 90th $85 to $245
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 $75.86 Median $162.18 Typical High $169.82 | Facility | None | $75.86 | $162.18 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $100.00 Typical High $199.53 | Professional | None (both parts) | $75.86 | $100.00 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $38.90 Typical High $79.43 | Professional | 26 · Professional part | $30.20 | $38.90 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $60.26 Typical High $123.03 | Professional | TC · Technical part | $46.77 | $60.26 | $123.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $64.57 Median $109.65 Typical High $190.55 | Professional | None (both parts) | $64.57 | $109.65 | $190.55 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $41.69 Typical High $60.26 | Professional | 26 · Professional part | $33.11 | $41.69 | $60.26 |
BCBS Nebraska Setting Facility Modifier None Typical Low $208.93 Median $295.12 Typical High $562.34 | Facility | None | $208.93 | $295.12 | $562.34 |
BCBS Nebraska Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $54.95 Typical High $58.88 | Professional | 26 · Professional part | $52.48 | $54.95 | $58.88 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $87.10 Typical High $95.50 | Professional | TC · Technical part | $83.18 | $87.10 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $602.56 | Facility | None | $457.09 | $457.09 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $190.55 Typical High $194.98 | Professional | None (both parts) | $151.36 | $190.55 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $70.79 Typical High $75.86 | Professional | 26 · Professional part | $57.54 | $70.79 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $112.20 Typical High $120.23 | Professional | TC · Technical part | $91.20 | $112.20 | $120.23 |
Medica Setting Facility Modifier None Typical Low $144.54 Median $323.59 Typical High $512.86 | Facility | None | $144.54 | $323.59 | $512.86 |
Medica Setting Professional Modifier None (both parts) Typical Low $102.33 Median $162.18 Typical High $524.81 | Professional | None (both parts) | $102.33 | $162.18 | $524.81 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $61.66 Typical High $194.98 | Professional | 26 · Professional part | $40.74 | $61.66 | $194.98 |
Medica Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $100.00 Typical High $331.13 | Professional | TC · Technical part | $61.66 | $100.00 | $331.13 |
Midlands Setting Professional Modifier None Typical Low $154.88 Median $190.55 Typical High $204.17 | Professional | None | $154.88 | $190.55 | $204.17 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $75.86 Typical High $77.62 | Professional | 26 · Professional part | $58.88 | $75.86 | $77.62 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $112.20 Typical High $125.89 | Professional | TC · Technical part | $95.50 | $112.20 | $125.89 |
Midlands Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
Midlands Setting Professional Modifier None (both parts) Typical Low $151.36 Median $181.97 Typical High $204.17 | Professional | None (both parts) | $151.36 | $181.97 | $204.17 |
Oscar Health Setting Facility Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $2,290.87 | Facility | None | $1,949.84 | $1,949.84 | $2,290.87 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $32.36 Median $69.18 Typical High $147.91 | Professional | None (both parts) | $32.36 | $69.18 | $147.91 |
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 $95.50 Median $154.88 Typical High $204.17 | Professional | None (both parts) | $95.50 | $154.88 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $58.88 Typical High $81.28 | Professional | 26 · Professional part | $38.02 | $58.88 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $95.50 Typical High $123.03 | Professional | TC · Technical part | $56.23 | $95.50 | $123.03 |
4 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 $38.02 Median $38.02 Typical High $41.69 | Professional | 52 · Reduced service | $38.02 | $38.02 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.14 Typical High $16.60 | Professional | 53 · Discontinued | $15.14 | $15.14 | $16.60 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | FX · Film X-ray | $61.66 | $61.66 | $61.66 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | 59 · Distinct service | $97.72 | $97.72 | $97.72 |
Where Nebraska sits
The same service costs 3.6 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
$162
AK $245TX $67.61
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.