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 $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $61.66 Typical High $64.57 | Professional | None (both parts) | $61.66 | $61.66 | $64.57 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $44.67 | Professional | 26 · Professional part | $42.66 | $42.66 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $18.62 Typical High $20.42 | Professional | TC · Technical part | $18.62 | $18.62 | $20.42 |
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 $36.31 Median $66.07 Typical High $85.11 | Professional | 26 · Professional part | $36.31 | $66.07 | $85.11 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $28.18 Typical High $37.15 | Professional | TC · Technical part | $15.49 | $28.18 | $37.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $144.54 Typical High $158.49 | Professional | None (both parts) | $128.82 | $144.54 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $104.71 Typical High $112.20 | Professional | 26 · Professional part | $91.20 | $104.71 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $39.81 Typical High $47.86 | Professional | TC · Technical part | $38.90 | $39.81 | $47.86 |
Medica Setting Facility Modifier None Typical Low $100.00 Median $162.18 Typical High $295.12 | Facility | None | $100.00 | $162.18 | $295.12 |
Medica Setting Professional Modifier None (both parts) Typical Low $97.72 Median $144.54 Typical High $407.38 | Professional | None (both parts) | $97.72 | $144.54 | $407.38 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $107.15 Typical High $281.84 | Professional | 26 · Professional part | $70.79 | $107.15 | $281.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $40.74 Typical High $125.89 | Professional | TC · Technical part | $26.92 | $40.74 | $125.89 |
Midlands Setting Professional Modifier None Typical Low $134.90 Median $144.54 Typical High $158.49 | Professional | None | $134.90 | $144.54 | $158.49 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $104.71 Typical High $112.20 | Professional | 26 · Professional part | $93.33 | $104.71 | $112.20 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $39.81 Typical High $47.86 | Professional | TC · Technical part | $39.81 | $39.81 | $47.86 |
Midlands Setting Professional Modifier None (both parts) Typical Low $134.90 Median $158.49 Typical High $173.78 | Professional | None (both parts) | $134.90 | $158.49 | $173.78 |
United Setting Facility Modifier None Typical Low $165.96 Median $177.83 Typical High $223.87 | Facility | None | $165.96 | $177.83 | $223.87 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $125.89 Typical High $181.97 | Professional | None (both parts) | $97.72 | $125.89 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $89.13 Typical High $131.83 | Professional | 26 · Professional part | $70.79 | $89.13 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $38.02 Typical High $50.12 | Professional | TC · Technical part | $26.92 | $38.02 | $50.12 |
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 $30.90 Median $30.90 Typical High $31.62 | Professional | 52 · Reduced service | $30.90 | $30.90 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.30 Typical High $12.59 | Professional | 53 · Discontinued | $12.30 | $12.30 | $12.59 |
Where Nebraska sits
The same service costs 3.9 times more in Alaska 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· 2nd of 51
$145
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.