How much rates vary
Facilitymedian $457 · 10th to 90th $158 to $776Professionalmedian $195 · 10th to 90th $93 to $251
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 $112.20 Median $199.53 Typical High $208.93 | Facility | None | $112.20 | $199.53 | $208.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $123.03 Typical High $245.47 | Professional | None (both parts) | $93.33 | $123.03 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $38.02 Typical High $77.62 | Professional | 26 · Professional part | $29.51 | $38.02 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $83.18 Typical High $169.82 | Professional | TC · Technical part | $64.57 | $83.18 | $169.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $74.13 Median $77.62 Typical High $229.09 | Professional | None (both parts) | $74.13 | $77.62 | $229.09 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $54.95 Typical High $70.79 | Professional | 26 · Professional part | $31.62 | $54.95 | $70.79 |
BCBS Nebraska Setting Facility Modifier None Typical Low $257.04 Median $338.84 Typical High $691.83 | Facility | None | $257.04 | $338.84 | $691.83 |
BCBS Nebraska Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $53.70 Typical High $57.54 | Professional | 26 · Professional part | $51.29 | $53.70 | $57.54 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $120.23 Typical High $128.82 | Professional | TC · Technical part | $66.07 | $120.23 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $602.56 | Facility | None | $549.54 | $549.54 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $234.42 Typical High $239.88 | Professional | None (both parts) | $181.97 | $234.42 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $69.18 Typical High $74.13 | Professional | 26 · Professional part | $56.23 | $69.18 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $162.18 Typical High $165.96 | Professional | TC · Technical part | $125.89 | $162.18 | $165.96 |
Medica Setting Facility Modifier None Typical Low $158.49 Median $588.84 Typical High $812.83 | Facility | None | $158.49 | $588.84 | $812.83 |
Medica Setting Professional Modifier None (both parts) Typical Low $125.89 Median $199.53 Typical High $660.69 | Professional | None (both parts) | $125.89 | $199.53 | $660.69 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $61.66 Typical High $218.78 | Professional | 26 · Professional part | $39.81 | $61.66 | $218.78 |
Medica Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $131.83 Typical High $457.09 | Professional | TC · Technical part | $81.28 | $131.83 | $457.09 |
Midlands Setting Professional Modifier None Typical Low $186.21 Median $234.42 Typical High $245.47 | Professional | None | $186.21 | $234.42 | $245.47 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $74.13 Typical High $75.86 | Professional | 26 · Professional part | $57.54 | $74.13 | $75.86 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $162.18 Typical High $169.82 | Professional | TC · Technical part | $131.83 | $162.18 | $169.82 |
Midlands Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Midlands Setting Professional Modifier None (both parts) Typical Low $181.97 Median $223.87 Typical High $245.47 | Professional | None (both parts) | $181.97 | $223.87 | $245.47 |
Oscar Health Setting Facility Modifier None Typical Low $457.09 Median $524.81 Typical High $537.03 | Facility | None | $457.09 | $524.81 | $537.03 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $31.62 Median $75.86 Typical High $177.83 | Professional | None (both parts) | $31.62 | $75.86 | $177.83 |
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 $117.49 Median $190.55 Typical High $239.88 | Professional | None (both parts) | $117.49 | $190.55 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $57.54 Typical High $79.43 | Professional | 26 · Professional part | $37.15 | $57.54 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $112.20 Typical High $165.96 | Professional | TC · Technical part | $81.28 | $112.20 | $165.96 |
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 $46.77 Median $46.77 Typical High $52.48 | Professional | 52 · Reduced service | $46.77 | $46.77 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $20.89 | Professional | 53 · Discontinued | $18.62 | $18.62 | $20.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | FX · Film X-ray | $75.86 | $75.86 | $75.86 |
Where Nebraska sits
The same service costs 4.2 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
$200
AK $302UT $72.44
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.