How much rates vary
Facilitymedian $240 · 10th to 90th $126 to $513Professionalmedian $141 · 10th to 90th $71 to $209
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 $64.57 Median $120.23 Typical High $288.40 | Facility | None | $64.57 | $120.23 | $288.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $72.44 Typical High $169.82 | Professional | None (both parts) | $64.57 | $72.44 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $28.18 Typical High $70.79 | Professional | 26 · Professional part | $26.30 | $28.18 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $44.67 Typical High $100.00 | Professional | TC · Technical part | $38.02 | $44.67 | $100.00 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None (both parts) | $125.89 | $125.89 | $125.89 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $54.95 Typical High $66.07 | Professional | 26 · Professional part | $50.12 | $54.95 | $66.07 |
BCBS Nebraska Setting Facility Modifier None Typical Low $204.17 Median $269.15 Typical High $562.34 | Facility | None | $204.17 | $269.15 | $562.34 |
BCBS Nebraska Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $50.12 Typical High $52.48 | Professional | 26 · Professional part | $46.77 | $50.12 | $52.48 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $74.13 Typical High $77.62 | Professional | TC · Technical part | $69.18 | $74.13 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $165.96 Typical High $165.96 | Professional | None (both parts) | $128.82 | $165.96 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $64.57 Typical High $69.18 | Professional | 26 · Professional part | $52.48 | $64.57 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $97.72 Typical High $100.00 | Professional | TC · Technical part | $75.86 | $97.72 | $100.00 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $158.49 Typical High $562.34 | Facility | None | $125.89 | $158.49 | $562.34 |
Medica Setting Professional Modifier None (both parts) Typical Low $89.13 Median $141.25 Typical High $537.03 | Professional | None (both parts) | $89.13 | $141.25 | $537.03 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $56.23 Typical High $239.88 | Professional | 26 · Professional part | $36.31 | $56.23 | $239.88 |
Medica Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $83.18 Typical High $389.05 | Professional | TC · Technical part | $53.70 | $83.18 | $389.05 |
Midlands Setting Professional Modifier None Typical Low $134.90 Median $165.96 Typical High $173.78 | Professional | None | $134.90 | $165.96 | $173.78 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $67.61 Typical High $70.79 | Professional | 26 · Professional part | $53.70 | $67.61 | $70.79 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $100.00 Typical High $104.71 | Professional | TC · Technical part | $79.43 | $100.00 | $104.71 |
Midlands Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
Midlands Setting Professional Modifier None (both parts) Typical Low $134.90 Median $158.49 Typical High $173.78 | Professional | None (both parts) | $134.90 | $158.49 | $173.78 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $28.18 Median $60.26 Typical High $125.89 | Professional | None (both parts) | $28.18 | $60.26 | $125.89 |
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 $83.18 Median $131.83 Typical High $177.83 | Professional | None (both parts) | $83.18 | $131.83 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $53.70 Typical High $72.44 | Professional | 26 · Professional part | $33.88 | $53.70 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $79.43 Typical High $107.15 | Professional | TC · Technical part | $48.98 | $79.43 | $107.15 |
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 $32.36 Median $32.36 Typical High $35.48 | Professional | 52 · Reduced service | $32.36 | $32.36 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $12.88 Typical High $14.13 | Professional | 53 · Discontinued | $12.88 | $12.88 | $14.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | FX · Film X-ray | $52.48 | $52.48 | $52.48 |
Where Nebraska sits
The same service costs 4.4 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
$141
AK $214UT $48.98
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.