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 $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $239.88 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.90 Typical High $38.90 | Professional | 26 · Professional part | $38.02 | $38.90 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $234.42 Typical High $257.04 | Professional | TC · Technical part | $229.09 | $234.42 | $257.04 |
BCBS Nebraska Setting Facility Modifier None Typical Low $302.00 Median $426.58 Typical High $724.44 | Facility | None | $302.00 | $426.58 | $724.44 |
BCBS Nebraska Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $72.44 Typical High $75.86 | Professional | 26 · Professional part | $70.79 | $72.44 | $75.86 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $120.23 Typical High $128.82 | Professional | TC · Technical part | $117.49 | $120.23 | $128.82 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | 26 · Professional part | $245.47 | $245.47 | $245.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $257.04 Typical High $575.44 | Professional | None (both parts) | $154.88 | $257.04 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $89.13 Typical High $100.00 | Professional | 26 · Professional part | $75.86 | $89.13 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $158.49 Typical High $489.78 | Professional | TC · Technical part | $87.10 | $158.49 | $489.78 |
Medica Setting Facility Modifier None Typical Low $147.91 Median $398.11 Typical High $512.86 | Facility | None | $147.91 | $398.11 | $512.86 |
Medica Setting Professional Modifier None (both parts) Typical Low $302.00 Median $537.03 Typical High $1,258.93 | Professional | None (both parts) | $302.00 | $537.03 | $1,258.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $83.18 Typical High $575.44 | Professional | 26 · Professional part | $53.70 | $83.18 | $575.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $446.68 Typical High $794.33 | Professional | TC · Technical part | $275.42 | $446.68 | $794.33 |
Midlands Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $575.44 | Professional | None | $257.04 | $257.04 | $575.44 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $97.72 Typical High $109.65 | Professional | 26 · Professional part | $83.18 | $97.72 | $109.65 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $158.49 Typical High $489.78 | Professional | TC · Technical part | $158.49 | $158.49 | $489.78 |
Midlands Setting Facility Modifier 26 · Professional part Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | 26 · Professional part | $245.47 | $245.47 | $245.47 |
Midlands Setting Professional Modifier None (both parts) Typical Low $194.98 Median $281.84 Typical High $575.44 | Professional | None (both parts) | $194.98 | $281.84 | $575.44 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $93.33 Typical High $109.65 | Professional | 26 · Professional part | $75.86 | $93.33 | $109.65 |
United Setting Facility Modifier None Typical Low $295.12 Median $316.23 Typical High $407.38 | Facility | None | $295.12 | $316.23 | $407.38 |
United Setting Professional Modifier None (both parts) Typical Low $302.00 Median $512.86 Typical High $630.96 | Professional | None (both parts) | $302.00 | $512.86 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $77.62 Typical High $107.15 | Professional | 26 · Professional part | $51.29 | $77.62 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $426.58 Typical High $524.81 | Professional | TC · Technical part | $251.19 | $426.58 | $524.81 |
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 $120.23 Median $123.03 Typical High $134.90 | Professional | 52 · Reduced service | $120.23 | $123.03 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $48.98 Typical High $53.70 | Professional | 53 · Discontinued | $47.86 | $48.98 | $53.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | FX · Film X-ray | $194.98 | $194.98 | $194.98 |
Where Nebraska sits
The same service costs 3.6 times more in Nebraska than in New Jersey. 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· 1st of 51
$407
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.