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 $93.33 Median $93.33 Typical High $125.89 | Facility | None | $93.33 | $93.33 | $125.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $112.20 Typical High $245.47 | Professional | None (both parts) | $93.33 | $112.20 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $31.62 Typical High $75.86 | Professional | 26 · Professional part | $28.84 | $31.62 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $85.11 Typical High $169.82 | Professional | TC · Technical part | $64.57 | $85.11 | $169.82 |
BCBS Nebraska Setting Facility Modifier None Typical Low $165.96 Median $331.13 Typical High $691.83 | Facility | None | $165.96 | $331.13 | $691.83 |
BCBS Nebraska Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $52.48 Typical High $56.23 | Professional | 26 · Professional part | $50.12 | $52.48 | $56.23 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $123.03 Typical High $128.82 | Professional | TC · Technical part | $114.82 | $123.03 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $537.03 Typical High $537.03 | Facility | None | $323.59 | $537.03 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $208.93 Typical High $239.88 | Professional | None (both parts) | $181.97 | $208.93 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $67.61 Typical High $72.44 | Professional | 26 · Professional part | $54.95 | $67.61 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $134.90 Typical High $165.96 | Professional | TC · Technical part | $125.89 | $134.90 | $165.96 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $181.97 Typical High $512.86 | Facility | None | $125.89 | $181.97 | $512.86 |
Medica Setting Professional Modifier None (both parts) Typical Low $117.49 Median $199.53 Typical High $645.65 | Professional | None (both parts) | $117.49 | $199.53 | $645.65 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $60.26 Typical High $229.09 | Professional | 26 · Professional part | $38.90 | $60.26 | $229.09 |
Medica Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $141.25 Typical High $467.74 | Professional | TC · Technical part | $89.13 | $141.25 | $467.74 |
Midlands Setting Professional Modifier None Typical Low $186.21 Median $208.93 Typical High $239.88 | Professional | None | $186.21 | $208.93 | $239.88 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $72.44 Typical High $72.44 | Professional | 26 · Professional part | $56.23 | $72.44 | $72.44 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $134.90 Typical High $169.82 | Professional | TC · Technical part | $128.82 | $134.90 | $169.82 |
Midlands Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Facility | None | $537.03 | $537.03 | $537.03 |
Midlands Setting Professional Modifier None (both parts) Typical Low $181.97 Median $218.78 Typical High $245.47 | Professional | None (both parts) | $181.97 | $218.78 | $245.47 |
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 $117.49 Median $190.55 Typical High $257.04 | Professional | None (both parts) | $117.49 | $190.55 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $56.23 Typical High $77.62 | Professional | 26 · Professional part | $36.31 | $56.23 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $131.83 Typical High $177.83 | Professional | TC · Technical part | $81.28 | $131.83 | $177.83 |
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 $51.29 | Professional | 52 · Reduced service | $46.77 | $46.77 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $20.42 | Professional | 53 · Discontinued | $18.62 | $18.62 | $20.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | FX · Film X-ray | $74.13 | $74.13 | $74.13 |
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· 4th of 51
$209
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.