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 $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $151.36 Typical High $309.03 | Professional | None (both parts) | $117.49 | $151.36 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $37.15 Typical High $89.13 | Professional | 26 · Professional part | $33.88 | $37.15 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $109.65 Typical High $223.87 | Professional | TC · Technical part | $85.11 | $109.65 | $223.87 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $67.61 | Professional | 26 · Professional part | $46.77 | $46.77 | $67.61 |
BCBS Nebraska Setting Facility Modifier None Typical Low $173.78 Median $338.84 Typical High $707.95 | Facility | None | $173.78 | $338.84 | $707.95 |
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 $144.54 Median $151.36 Typical High $165.96 | Professional | TC · Technical part | $144.54 | $151.36 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $676.08 Typical High $676.08 | Facility | None | $323.59 | $676.08 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $234.42 Typical High $302.00 | Professional | None (both parts) | $218.78 | $234.42 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $81.28 Typical High $87.10 | Professional | 26 · Professional part | $66.07 | $81.28 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $165.96 Typical High $213.80 | Professional | TC · Technical part | $134.90 | $165.96 | $213.80 |
Medica Setting Facility Modifier None Typical Low $131.83 Median $512.86 Typical High $1,148.15 | Facility | None | $131.83 | $512.86 | $1,148.15 |
Medica Setting Professional Modifier None (both parts) Typical Low $162.18 Median $269.15 Typical High $741.31 | Professional | None (both parts) | $162.18 | $269.15 | $741.31 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $72.44 Typical High $263.03 | Professional | 26 · Professional part | $46.77 | $72.44 | $263.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $199.53 Typical High $512.86 | Professional | TC · Technical part | $128.82 | $199.53 | $512.86 |
Midlands Setting Professional Modifier None Typical Low $218.78 Median $234.42 Typical High $309.03 | Professional | None | $218.78 | $234.42 | $309.03 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $87.10 Typical High $87.10 | Professional | 26 · Professional part | $66.07 | $87.10 | $87.10 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $169.82 Typical High $218.78 | Professional | TC · Technical part | $134.90 | $169.82 | $218.78 |
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 $281.84 Typical High $309.03 | Professional | None (both parts) | $229.09 | $281.84 | $309.03 |
United Setting Facility Modifier None Typical Low $107.15 Median $114.82 Typical High $147.91 | Facility | None | $107.15 | $114.82 | $147.91 |
United Setting Professional Modifier None (both parts) Typical Low $162.18 Median $257.04 Typical High $346.74 | Professional | None (both parts) | $162.18 | $257.04 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $67.61 Typical High $93.33 | Professional | 26 · Professional part | $43.65 | $67.61 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $190.55 Typical High $257.04 | Professional | TC · Technical part | $117.49 | $190.55 | $257.04 |
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 $58.88 Median $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $58.88 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | 53 · Discontinued | $23.44 | $23.44 | $23.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | FX · Film X-ray | $95.50 | $95.50 | $95.50 |
Where Nebraska sits
The same service costs 3.7 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· 6th of 51
$245
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.