How much rates vary
Facilitymedian $372 · 10th to 90th $76 to $6,026Professionalmedian $76 · 10th to 90th $36 to $100
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 $36.31 Median $75.86 Typical High $81.28 | Facility | None | $36.31 | $75.86 | $81.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $46.77 Typical High $95.50 | Professional | None (both parts) | $36.31 | $46.77 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $16.60 Typical High $33.88 | Professional | 26 · Professional part | $12.88 | $16.60 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $30.20 Typical High $60.26 | Professional | TC · Technical part | $22.91 | $30.20 | $60.26 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $35.48 Median $35.48 Typical High $85.11 | Professional | None (both parts) | $35.48 | $35.48 | $85.11 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $26.30 Typical High $32.36 | Professional | 26 · Professional part | $25.70 | $26.30 | $32.36 |
BCBS Nebraska Setting Facility Modifier None Typical Low $95.50 Median $380.19 Typical High $724.44 | Facility | None | $95.50 | $380.19 | $724.44 |
BCBS Nebraska Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $23.99 Typical High $25.70 | Professional | 26 · Professional part | $22.91 | $23.99 | $25.70 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $42.66 Typical High $45.71 | Professional | TC · Technical part | $39.81 | $42.66 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $223.87 Typical High $223.87 | Facility | None | $151.36 | $223.87 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $75.86 Typical High $93.33 | Professional | None (both parts) | $70.79 | $75.86 | $93.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $30.90 Typical High $33.11 | Professional | 26 · Professional part | $25.12 | $30.90 | $33.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $45.71 Typical High $58.88 | Professional | TC · Technical part | $42.66 | $45.71 | $58.88 |
Medica Setting Facility Modifier None Typical Low $66.07 Median $257.04 Typical High $851.14 | Facility | None | $66.07 | $257.04 | $851.14 |
Medica Setting Professional Modifier None (both parts) Typical Low $40.74 Median $77.62 Typical High $288.40 | Professional | None (both parts) | $40.74 | $77.62 | $288.40 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $27.54 Typical High $204.17 | Professional | 26 · Professional part | $18.20 | $27.54 | $204.17 |
Medica Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $48.98 Typical High $229.09 | Professional | TC · Technical part | $25.12 | $48.98 | $229.09 |
Midlands Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $100.00 | Professional | None | $75.86 | $75.86 | $100.00 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $33.11 Typical High $33.88 | Professional | 26 · Professional part | $26.30 | $33.11 | $33.88 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $50.12 Typical High $66.07 | Professional | TC · Technical part | $42.66 | $50.12 | $66.07 |
Midlands Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
Midlands Setting Professional Modifier None (both parts) Typical Low $70.79 Median $85.11 Typical High $100.00 | Professional | None (both parts) | $70.79 | $85.11 | $100.00 |
Oscar Health Setting Facility Modifier None Typical Low $3,311.31 Median $6,025.60 Typical High $7,079.46 | Facility | None | $3,311.31 | $6,025.60 | $7,079.46 |
United Setting Professional Modifier None (both parts) Typical Low $40.74 Median $72.44 Typical High $89.13 | Professional | None (both parts) | $40.74 | $72.44 | $89.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $26.92 Typical High $36.31 | Professional | 26 · Professional part | $16.60 | $26.92 | $36.31 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $41.69 Typical High $52.48 | Professional | TC · Technical part | $24.55 | $41.69 | $52.48 |
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 $18.20 Median $18.20 Typical High $18.20 | Professional | 52 · Reduced service | $18.20 | $18.20 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.24 Typical High $7.24 | Professional | 53 · Discontinued | $7.24 | $7.24 | $7.24 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | FX · Film X-ray | $28.84 | $28.84 | $28.84 |
Where Nebraska sits
The same service costs 4.1 times more in Alaska than in Florida. 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
$75.86
AK $117FL $28.84
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.