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 $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $141.25 Typical High $281.84 | Professional | None (both parts) | $107.15 | $141.25 | $281.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $43.65 Typical High $87.10 | Professional | 26 · Professional part | $33.11 | $43.65 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $97.72 Typical High $194.98 | Professional | TC · Technical part | $74.13 | $97.72 | $194.98 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $93.33 Median $275.42 Typical High $275.42 | Professional | None (both parts) | $93.33 | $275.42 | $275.42 |
BCBS Nebraska Setting Facility Modifier None Typical Low $380.19 Median $524.81 Typical High $1,023.29 | Facility | None | $380.19 | $524.81 | $1,023.29 |
BCBS Nebraska Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $61.66 Typical High $66.07 | Professional | 26 · Professional part | $58.88 | $61.66 | $66.07 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $141.25 Typical High $154.88 | Professional | TC · Technical part | $131.83 | $141.25 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $263.03 Typical High $275.42 | Professional | None (both parts) | $208.93 | $263.03 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $79.43 Typical High $85.11 | Professional | 26 · Professional part | $64.57 | $79.43 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $181.97 Typical High $190.55 | Professional | TC · Technical part | $144.54 | $181.97 | $190.55 |
Medica Setting Facility Modifier None Typical Low $186.21 Median $223.87 Typical High $512.86 | Facility | None | $186.21 | $223.87 | $512.86 |
Medica Setting Professional Modifier None (both parts) Typical Low $144.54 Median $234.42 Typical High $758.58 | Professional | None (both parts) | $144.54 | $234.42 | $758.58 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $70.79 Typical High $338.84 | Professional | 26 · Professional part | $45.71 | $70.79 | $338.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $162.18 Typical High $537.03 | Professional | TC · Technical part | $100.00 | $162.18 | $537.03 |
Midlands Setting Professional Modifier None Typical Low $223.87 Median $263.03 Typical High $295.12 | Professional | None | $223.87 | $263.03 | $295.12 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $85.11 Typical High $87.10 | Professional | 26 · Professional part | $67.61 | $85.11 | $87.10 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $181.97 Typical High $204.17 | Professional | TC · Technical part | $154.88 | $181.97 | $204.17 |
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 $208.93 Median $257.04 Typical High $295.12 | Professional | None (both parts) | $208.93 | $257.04 | $295.12 |
United Setting Facility Modifier None Typical Low $295.12 Median $316.23 Typical High $407.38 | Facility | None | $295.12 | $316.23 | $407.38 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $218.78 Typical High $288.40 | Professional | None (both parts) | $134.90 | $218.78 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $66.07 Typical High $91.20 | Professional | 26 · Professional part | $42.66 | $66.07 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $151.36 Typical High $199.53 | Professional | TC · Technical part | $91.20 | $151.36 | $199.53 |
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 $53.70 Median $53.70 Typical High $58.88 | Professional | 52 · Reduced service | $53.70 | $53.70 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $23.44 | Professional | 53 · Discontinued | $21.38 | $21.38 | $23.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | FX · Film X-ray | $87.10 | $87.10 | $87.10 |
Where Nebraska sits
The same service costs 3.9 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· 4th of 51
$240
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.