How much rates vary
Facilitymedian $234 · 10th to 90th $38 to $380Professionalmedian $28 · 10th to 90th $17 to $45
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 $16.98 Median $16.98 Typical High $16.98 | Facility | None | $16.98 | $16.98 | $16.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $16.98 Median $16.98 Typical High $18.62 | Professional | None (both parts) | $16.98 | $16.98 | $18.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $13.80 Typical High $15.14 | Professional | 26 · Professional part | $13.80 | $13.80 | $15.14 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.16 Median $3.16 Typical High $3.63 | Professional | TC · Technical part | $3.16 | $3.16 | $3.63 |
BCBS Nebraska Setting Facility Modifier None Typical Low $190.55 Median $257.04 Typical High $512.86 | Facility | None | $190.55 | $257.04 | $512.86 |
BCBS Nebraska Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $19.50 Typical High $25.70 | Professional | 26 · Professional part | $11.22 | $19.50 | $25.70 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $2.57 Median $4.57 Typical High $6.03 | Professional | TC · Technical part | $2.57 | $4.57 | $6.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $28.18 Typical High $39.81 | Professional | None (both parts) | $28.18 | $28.18 | $39.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $33.88 | Professional | 26 · Professional part | $24.55 | $24.55 | $33.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $4.17 Median $4.17 Typical High $7.59 | Professional | TC · Technical part | $4.17 | $4.17 | $7.59 |
Medica Setting Facility Modifier None Typical Low $31.62 Median $165.96 Typical High $263.03 | Facility | None | $31.62 | $165.96 | $263.03 |
Medica Setting Professional Modifier None (both parts) Typical Low $26.92 Median $27.54 Typical High $269.15 | Professional | None (both parts) | $26.92 | $27.54 | $269.15 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $89.13 | Professional | 26 · Professional part | $22.39 | $22.39 | $89.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $4.37 Median $4.37 Typical High $213.80 | Professional | TC · Technical part | $4.37 | $4.37 | $213.80 |
Midlands Setting Professional Modifier None Typical Low $33.11 Median $44.67 Typical High $44.67 | Professional | None | $33.11 | $44.67 | $44.67 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $35.48 Typical High $38.02 | Professional | 26 · Professional part | $28.84 | $35.48 | $38.02 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $4.17 Median $6.92 Typical High $8.71 | Professional | TC · Technical part | $4.17 | $6.92 | $8.71 |
Midlands Setting Professional Modifier None (both parts) Typical Low $34.67 Median $35.48 Typical High $44.67 | Professional | None (both parts) | $34.67 | $35.48 | $44.67 |
United Setting Facility Modifier None Typical Low $158.49 Median $169.82 Typical High $218.78 | Facility | None | $158.49 | $169.82 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $26.92 Median $26.92 Typical High $44.67 | Professional | None (both parts) | $26.92 | $26.92 | $44.67 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $36.31 | Professional | 26 · Professional part | $22.39 | $22.39 | $36.31 |
United Setting Professional Modifier TC · Technical part Typical Low $4.37 Median $4.37 Typical High $8.51 | Professional | TC · Technical part | $4.37 | $4.37 | $8.51 |
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 $8.51 Median $8.51 Typical High $9.12 | Professional | 52 · Reduced service | $8.51 | $8.51 | $9.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.39 Typical High $3.63 | Professional | 53 · Discontinued | $3.39 | $3.39 | $3.63 |
Where Nebraska sits
The same service costs 2.5 times more in California than in Texas. 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· 7th of 51
$28.18
CA $40.74TX $16.22
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.