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 $104.71 Median $104.71 Typical High $151.36 | Facility | None | $104.71 | $104.71 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None (both parts) | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 26 · Professional part | $52.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | TC · Technical part | $53.70 | $53.70 | $53.70 |
BCBS Nebraska Setting Facility Modifier None Typical Low $512.86 Median $676.08 Typical High $1,380.38 | Facility | None | $512.86 | $676.08 | $1,380.38 |
BCBS Nebraska Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $74.13 Typical High $100.00 | Professional | 26 · Professional part | $43.65 | $74.13 | $100.00 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $75.86 Typical High $102.33 | Professional | TC · Technical part | $44.67 | $75.86 | $102.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $213.80 Typical High $275.42 | Professional | None (both parts) | $181.97 | $213.80 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $112.20 Typical High $134.90 | Professional | 26 · Professional part | $97.72 | $112.20 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $97.72 Typical High $131.83 | Professional | TC · Technical part | $83.18 | $97.72 | $131.83 |
Medica Setting Facility Modifier None Typical Low $181.97 Median $501.19 Typical High $660.69 | Facility | None | $181.97 | $501.19 | $660.69 |
Medica Setting Professional Modifier None (both parts) Typical Low $144.54 Median $269.15 Typical High $851.14 | Professional | None (both parts) | $144.54 | $269.15 | $851.14 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $138.04 Typical High $562.34 | Professional | 26 · Professional part | $79.43 | $138.04 | $562.34 |
Medica Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $131.83 Typical High $562.34 | Professional | TC · Technical part | $67.61 | $131.83 | $562.34 |
Midlands Setting Professional Modifier None Typical Low $213.80 Median $234.42 Typical High $288.40 | Professional | None | $213.80 | $234.42 | $288.40 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $114.82 Typical High $151.36 | Professional | 26 · Professional part | $112.20 | $114.82 | $151.36 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $120.23 Typical High $151.36 | Professional | TC · Technical part | $97.72 | $120.23 | $151.36 |
Midlands Setting Professional Modifier None (both parts) Typical Low $165.96 Median $234.42 Typical High $288.40 | Professional | None (both parts) | $165.96 | $234.42 | $288.40 |
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 $134.90 Median $239.88 Typical High $275.42 | Professional | None (both parts) | $134.90 | $239.88 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $125.89 Typical High $147.91 | Professional | 26 · Professional part | $72.44 | $125.89 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $120.23 Typical High $134.90 | Professional | TC · Technical part | $61.66 | $120.23 | $134.90 |
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 $52.48 Median $52.48 Typical High $52.48 | Professional | 52 · Reduced service | $52.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | 53 · Discontinued | $20.89 | $20.89 | $20.89 |
Where Nebraska sits
The same service costs 3.8 times more in Minnesota than in Utah. 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
$229
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.