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 $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $316.23 Typical High $630.96 | Professional | None (both parts) | $239.88 | $316.23 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $100.00 Typical High $199.53 | Professional | 26 · Professional part | $75.86 | $100.00 | $199.53 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $213.80 Typical High $436.52 | Professional | TC · Technical part | $165.96 | $213.80 | $436.52 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $467.74 Median $467.74 Typical High $489.78 | Professional | None (both parts) | $467.74 | $467.74 | $489.78 |
BCBS Nebraska Setting Facility Modifier None Typical Low $208.93 Median $295.12 Typical High $1,096.48 | Facility | None | $208.93 | $295.12 | $1,096.48 |
BCBS Nebraska Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $141.25 Typical High $151.36 | Professional | 26 · Professional part | $134.90 | $141.25 | $151.36 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $316.23 Typical High $346.74 | Professional | TC · Technical part | $295.12 | $316.23 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | None | $1,445.44 | $1,445.44 | $1,445.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $467.74 Median $616.60 Typical High $616.60 | Professional | None (both parts) | $467.74 | $616.60 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $186.21 Typical High $194.98 | Professional | 26 · Professional part | $147.91 | $186.21 | $194.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $426.58 Typical High $426.58 | Professional | TC · Technical part | $323.59 | $426.58 | $426.58 |
Medica Setting Facility Modifier None Typical Low $338.84 Median $676.08 Typical High $1,778.28 | Facility | None | $338.84 | $676.08 | $1,778.28 |
Medica Setting Professional Modifier None (both parts) Typical Low $309.03 Median $524.81 Typical High $1,698.24 | Professional | None (both parts) | $309.03 | $524.81 | $1,698.24 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $162.18 Typical High $501.19 | Professional | 26 · Professional part | $104.71 | $162.18 | $501.19 |
Medica Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $363.08 Typical High $1,202.26 | Professional | TC · Technical part | $208.93 | $363.08 | $1,202.26 |
Midlands Setting Professional Modifier None Typical Low $501.19 Median $616.60 Typical High $660.69 | Professional | None | $501.19 | $616.60 | $660.69 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $194.98 Typical High $199.53 | Professional | 26 · Professional part | $154.88 | $194.98 | $199.53 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $426.58 Typical High $457.09 | Professional | TC · Technical part | $346.74 | $426.58 | $457.09 |
Midlands Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | None | $1,445.44 | $1,445.44 | $1,445.44 |
Midlands Setting Professional Modifier None (both parts) Typical Low $295.12 Median $575.44 Typical High $660.69 | Professional | None (both parts) | $295.12 | $575.44 | $660.69 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $81.28 Median $204.17 Typical High $478.63 | Professional | None (both parts) | $81.28 | $204.17 | $478.63 |
United Setting Facility Modifier None Typical Low $676.08 Median $724.44 Typical High $933.25 | Facility | None | $676.08 | $724.44 | $933.25 |
United Setting Professional Modifier None (both parts) Typical Low $309.03 Median $478.63 Typical High $660.69 | Professional | None (both parts) | $309.03 | $478.63 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $151.36 Typical High $208.93 | Professional | 26 · Professional part | $97.72 | $151.36 | $208.93 |
United Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $323.59 Typical High $457.09 | Professional | TC · Technical part | $208.93 | $323.59 | $457.09 |
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 $120.23 Median $120.23 Typical High $134.90 | Professional | 52 · Reduced service | $120.23 | $120.23 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $53.70 | Professional | 53 · Discontinued | $48.98 | $48.98 | $53.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | FX · Film X-ray | $194.98 | $194.98 | $194.98 |
Where Nebraska sits
The same service costs 5.0 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· 5th of 51
$513
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.