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 $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $125.89 | Professional | None (both parts) | $120.23 | $120.23 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $14.13 Typical High $15.49 | Professional | 26 · Professional part | $14.13 | $14.13 | $15.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $109.65 | Professional | TC · Technical part | $107.15 | $107.15 | $109.65 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $199.53 | $199.53 | $199.53 |
BCBS Nebraska Setting Facility Modifier None Typical Low $194.98 Median $263.03 Typical High $524.81 | Facility | None | $194.98 | $263.03 | $524.81 |
BCBS Nebraska Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $20.42 Typical High $26.92 | Professional | 26 · Professional part | $11.48 | $20.42 | $26.92 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $154.88 Typical High $208.93 | Professional | TC · Technical part | $89.13 | $154.88 | $208.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $269.15 | Professional | None (both parts) | $165.96 | $165.96 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $34.67 | Professional | 26 · Professional part | $25.70 | $25.70 | $34.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $141.25 Typical High $234.42 | Professional | TC · Technical part | $141.25 | $141.25 | $234.42 |
Medica Setting Facility Modifier None Typical Low $42.66 Median $223.87 Typical High $602.56 | Facility | None | $42.66 | $223.87 | $602.56 |
Medica Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $794.33 | Professional | None (both parts) | $165.96 | $165.96 | $794.33 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $23.99 Typical High $134.90 | Professional | 26 · Professional part | $23.99 | $23.99 | $134.90 |
Medica Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $141.25 Typical High $707.95 | Professional | TC · Technical part | $141.25 | $141.25 | $707.95 |
Midlands Setting Professional Modifier None Typical Low $208.93 Median $269.15 Typical High $331.13 | Professional | None | $208.93 | $269.15 | $331.13 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $37.15 Typical High $39.81 | Professional | 26 · Professional part | $29.51 | $37.15 | $39.81 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $239.88 Typical High $295.12 | Professional | TC · Technical part | $177.83 | $239.88 | $295.12 |
Midlands Setting Professional Modifier None (both parts) Typical Low $251.19 Median $269.15 Typical High $331.13 | Professional | None (both parts) | $251.19 | $269.15 | $331.13 |
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 $165.96 Median $165.96 Typical High $281.84 | Professional | None (both parts) | $165.96 | $165.96 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $23.99 Typical High $38.02 | Professional | 26 · Professional part | $23.99 | $23.99 | $38.02 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $141.25 Typical High $245.47 | Professional | TC · Technical part | $141.25 | $141.25 | $245.47 |
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 $60.26 Median $60.26 Typical High $63.10 | Professional | 52 · Reduced service | $60.26 | $60.26 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $25.12 | Professional | 53 · Discontinued | $23.99 | $23.99 | $25.12 |
Where Nebraska sits
The same service costs 3.0 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· 8th of 51
$166
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.