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 $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $87.10 | Professional | None (both parts) | $83.18 | $83.18 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $45.71 | Professional | 26 · Professional part | $44.67 | $44.67 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | TC · Technical part | $39.81 | $39.81 | $39.81 |
BCBS Nebraska Setting Facility Modifier None Typical Low $91.20 Median $120.23 Typical High $245.47 | Facility | None | $91.20 | $120.23 | $245.47 |
BCBS Nebraska Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $61.66 Typical High $83.18 | Professional | 26 · Professional part | $35.48 | $61.66 | $83.18 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $56.23 Typical High $74.13 | Professional | TC · Technical part | $31.62 | $56.23 | $74.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $194.98 | Professional | None (both parts) | $144.54 | $144.54 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $79.43 Typical High $102.33 | Professional | 26 · Professional part | $79.43 | $79.43 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $93.33 | Professional | TC · Technical part | $64.57 | $64.57 | $93.33 |
Medica Setting Facility Modifier None Typical Low $74.13 Median $154.88 Typical High $616.60 | Facility | None | $74.13 | $154.88 | $616.60 |
Medica Setting Professional Modifier None (both parts) Typical Low $109.65 Median $114.82 Typical High $549.54 | Professional | None (both parts) | $109.65 | $114.82 | $549.54 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $64.57 Typical High $281.84 | Professional | 26 · Professional part | $57.54 | $64.57 | $281.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $51.29 Typical High $354.81 | Professional | TC · Technical part | $46.77 | $51.29 | $354.81 |
Midlands Setting Professional Modifier None Typical Low $154.88 Median $223.87 Typical High $223.87 | Professional | None | $154.88 | $223.87 | $223.87 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $114.82 Typical High $123.03 | Professional | 26 · Professional part | $85.11 | $114.82 | $123.03 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $100.00 Typical High $107.15 | Professional | TC · Technical part | $70.79 | $100.00 | $107.15 |
Midlands Setting Professional Modifier None (both parts) Typical Low $79.43 Median $177.83 Typical High $223.87 | Professional | None (both parts) | $79.43 | $177.83 | $223.87 |
United Setting Facility Modifier None Typical Low $72.44 Median $77.62 Typical High $100.00 | Facility | None | $72.44 | $77.62 | $100.00 |
United Setting Professional Modifier None (both parts) Typical Low $102.33 Median $114.82 Typical High $208.93 | Professional | None (both parts) | $102.33 | $114.82 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $64.57 Typical High $114.82 | Professional | 26 · Professional part | $57.54 | $64.57 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $51.29 Typical High $93.33 | Professional | TC · Technical part | $45.71 | $51.29 | $93.33 |
2 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 $41.69 Median $41.69 Typical High $43.65 | Professional | 52 · Reduced service | $41.69 | $41.69 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $16.98 Typical High $17.38 | Professional | 53 · Discontinued | $16.98 | $16.98 | $17.38 |
Where Nebraska sits
The same service costs 3.7 times more in Alaska 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· 9th of 51
$115
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.