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 $134.90 Median $295.12 Typical High $323.59 | Facility | None | $134.90 | $295.12 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $151.36 Typical High $354.81 | Professional | None (both parts) | $131.83 | $151.36 | $354.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $33.11 Typical High $83.18 | Professional | 26 · Professional part | $31.62 | $33.11 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $109.65 Typical High $269.15 | Professional | TC · Technical part | $100.00 | $109.65 | $269.15 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $63.10 Typical High $63.10 | Professional | 26 · Professional part | $56.23 | $63.10 | $63.10 |
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 $54.95 Median $57.54 Typical High $61.66 | Professional | 26 · Professional part | $54.95 | $57.54 | $61.66 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $186.21 Typical High $199.53 | Professional | TC · Technical part | $107.15 | $186.21 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $676.08 Typical High $676.08 | Facility | None | $602.56 | $676.08 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $288.40 Typical High $338.84 | Professional | None (both parts) | $229.09 | $288.40 | $338.84 |
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 $165.96 Median $208.93 Typical High $263.03 | Professional | TC · Technical part | $165.96 | $208.93 | $263.03 |
Medica Setting Facility Modifier None Typical Low $131.83 Median $213.80 Typical High $741.31 | Facility | None | $131.83 | $213.80 | $741.31 |
Medica Setting Professional Modifier None (both parts) Typical Low $173.78 Median $288.40 Typical High $891.25 | Professional | None (both parts) | $173.78 | $288.40 | $891.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $66.07 Typical High $371.54 | Professional | 26 · Professional part | $42.66 | $66.07 | $371.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $223.87 Typical High $691.83 | Professional | TC · Technical part | $138.04 | $223.87 | $691.83 |
Midlands Setting Professional Modifier None Typical Low $229.09 Median $288.40 Typical High $309.03 | Professional | None | $229.09 | $288.40 | $309.03 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $79.43 Typical High $81.28 | Professional | 26 · Professional part | $61.66 | $79.43 | $81.28 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $208.93 Typical High $239.88 | Professional | TC · Technical part | $165.96 | $208.93 | $239.88 |
Midlands Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Facility | None | $676.08 | $676.08 | $676.08 |
Midlands Setting Professional Modifier None (both parts) Typical Low $229.09 Median $302.00 Typical High $323.59 | Professional | None (both parts) | $229.09 | $302.00 | $323.59 |
Oscar Health Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
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 $162.18 Median $257.04 Typical High $407.38 | Professional | None (both parts) | $162.18 | $257.04 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $61.66 Typical High $85.11 | Professional | 26 · Professional part | $39.81 | $61.66 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $181.97 Typical High $338.84 | Professional | TC · Technical part | $125.89 | $181.97 | $338.84 |
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 $66.07 Median $66.07 Typical High $70.79 | Professional | 52 · Reduced service | $66.07 | $66.07 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $28.18 | Professional | 53 · Discontinued | $26.92 | $26.92 | $28.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | FX · Film X-ray | $107.15 | $107.15 | $107.15 |
Where Nebraska sits
The same service costs 4.9 times more in Wyoming 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
$288
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.