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 $109.65 Median $208.93 Typical High $245.47 | Facility | None | $109.65 | $208.93 | $245.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $144.54 Typical High $288.40 | Professional | None (both parts) | $109.65 | $144.54 | $288.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $41.69 Typical High $83.18 | Professional | 26 · Professional part | $31.62 | $41.69 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $102.33 Typical High $208.93 | Professional | TC · Technical part | $79.43 | $102.33 | $208.93 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $74.13 Median $123.03 Typical High $229.09 | Professional | None (both parts) | $74.13 | $123.03 | $229.09 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $41.69 Typical High $64.57 | Professional | 26 · Professional part | $34.67 | $41.69 | $64.57 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $63.10 Typical High $194.98 | Professional | TC · Technical part | $53.70 | $63.10 | $194.98 |
BCBS Nebraska Setting Facility Modifier None Typical Low $257.04 Median $331.13 Typical High $691.83 | Facility | None | $257.04 | $331.13 | $691.83 |
BCBS Nebraska Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $58.88 Typical High $61.66 | Professional | 26 · Professional part | $54.95 | $58.88 | $61.66 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $147.91 Typical High $158.49 | Professional | TC · Technical part | $107.15 | $147.91 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $645.65 Typical High $645.65 | Facility | None | $602.56 | $645.65 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $269.15 Typical High $281.84 | Professional | None (both parts) | $213.80 | $269.15 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $75.86 Typical High $81.28 | Professional | 26 · Professional part | $61.66 | $75.86 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $190.55 Typical High $204.17 | Professional | TC · Technical part | $154.88 | $190.55 | $204.17 |
Medica Setting Facility Modifier None Typical Low $213.80 Median $537.03 Typical High $812.83 | Facility | None | $213.80 | $537.03 | $812.83 |
Medica Setting Professional Modifier None (both parts) Typical Low $151.36 Median $223.87 Typical High $776.25 | Professional | None (both parts) | $151.36 | $223.87 | $776.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $66.07 Typical High $288.40 | Professional | 26 · Professional part | $43.65 | $66.07 | $288.40 |
Medica Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $169.82 Typical High $575.44 | Professional | TC · Technical part | $104.71 | $169.82 | $575.44 |
Midlands Setting Professional Modifier None Typical Low $223.87 Median $269.15 Typical High $295.12 | Professional | None | $223.87 | $269.15 | $295.12 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $81.28 Typical High $81.28 | Professional | 26 · Professional part | $63.10 | $81.28 | $81.28 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $190.55 Typical High $208.93 | Professional | TC · Technical part | $162.18 | $190.55 | $208.93 |
Midlands Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Midlands Setting Professional Modifier None (both parts) Typical Low $213.80 Median $263.03 Typical High $295.12 | Professional | None (both parts) | $213.80 | $263.03 | $295.12 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $34.67 Median $95.50 Typical High $213.80 | Professional | None (both parts) | $34.67 | $95.50 | $213.80 |
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 $138.04 Median $223.87 Typical High $302.00 | Professional | None (both parts) | $138.04 | $223.87 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $63.10 Typical High $87.10 | Professional | 26 · Professional part | $40.74 | $63.10 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $162.18 Typical High $213.80 | Professional | TC · Technical part | $97.72 | $162.18 | $213.80 |
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 $54.95 Median $54.95 Typical High $60.26 | Professional | 52 · Reduced service | $54.95 | $54.95 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $24.55 | Professional | 53 · Discontinued | $22.39 | $22.39 | $24.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | FX · Film X-ray | $89.13 | $89.13 | $89.13 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | 59 · Distinct service | $87.10 | $87.10 | $87.10 |
Where Nebraska sits
The same service costs 3.6 times more in Alaska than in Florida. 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· 8th of 51
$224
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.