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 $28.18 Median $28.18 Typical High $28.18 | Facility | None | $28.18 | $28.18 | $28.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $28.18 Typical High $42.66 | Professional | None (both parts) | $28.18 | $28.18 | $42.66 |
BCBS Nebraska Setting Facility Modifier None Typical Low $91.20 Median $128.82 Typical High $630.96 | Facility | None | $91.20 | $128.82 | $630.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $100.00 Typical High $117.49 | Professional | None (both parts) | $66.07 | $100.00 | $117.49 |
Medica Setting Facility Modifier None Typical Low $50.12 Median $263.03 Typical High $660.69 | Facility | None | $50.12 | $263.03 | $660.69 |
Medica Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $630.96 | Professional | None (both parts) | $77.62 | $77.62 | $630.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $17.38 Typical High $331.13 | Professional | 26 · Professional part | $17.38 | $17.38 | $331.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $60.26 Typical High $537.03 | Professional | TC · Technical part | $60.26 | $60.26 | $537.03 |
Midlands Setting Professional Modifier None Typical Low $83.18 Median $117.49 Typical High $117.49 | Professional | None | $83.18 | $117.49 | $117.49 |
Midlands Setting Professional Modifier None (both parts) Typical Low $57.54 Median $72.44 Typical High $154.88 | Professional | None (both parts) | $57.54 | $72.44 | $154.88 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $9.33 Median $9.33 Typical High $12.30 | Professional | None (both parts) | $9.33 | $9.33 | $12.30 |
United Setting Facility Modifier None Typical Low $549.54 Median $588.84 Typical High $758.58 | Facility | None | $549.54 | $588.84 | $758.58 |
United Setting Professional Modifier None (both parts) Typical Low $69.18 Median $77.62 Typical High $125.89 | Professional | None (both parts) | $69.18 | $77.62 | $125.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $17.38 Typical High $28.18 | Professional | 26 · Professional part | $17.38 | $17.38 | $28.18 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $60.26 Typical High $97.72 | Professional | TC · Technical part | $60.26 | $60.26 | $97.72 |
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 $14.13 Median $14.13 Typical High $20.89 | Professional | 52 · Reduced service | $14.13 | $14.13 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $5.62 Typical High $8.51 | Professional | 53 · Discontinued | $5.62 | $5.62 | $8.51 |
Where Nebraska sits
The same service costs 3.3 times more in Alaska than in Ohio. 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· 3rd of 51
$77.62
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.