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 $64.57 Median $64.57 Typical High $91.20 | Facility | None | $64.57 | $64.57 | $91.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $158.49 | Professional | None (both parts) | $64.57 | $64.57 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $83.18 | Professional | 26 · Professional part | $33.88 | $33.88 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $30.90 Typical High $75.86 | Professional | TC · Technical part | $30.90 | $30.90 | $75.86 |
BCBS Nebraska Setting Facility Modifier None Typical Low $74.13 Median $97.72 Typical High $204.17 | Facility | None | $74.13 | $97.72 | $204.17 |
BCBS Nebraska Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $47.86 Typical High $64.57 | Professional | 26 · Professional part | $28.18 | $47.86 | $64.57 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $45.71 Typical High $60.26 | Professional | TC · Technical part | $26.92 | $45.71 | $60.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $120.23 Typical High $158.49 | Professional | None (both parts) | $102.33 | $120.23 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $72.44 Typical High $87.10 | Professional | 26 · Professional part | $63.10 | $72.44 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $53.70 Typical High $75.86 | Professional | TC · Technical part | $39.81 | $53.70 | $75.86 |
Medica Setting Facility Modifier None Typical Low $46.77 Median $125.89 Typical High $316.23 | Facility | None | $46.77 | $125.89 | $316.23 |
Medica Setting Professional Modifier None (both parts) Typical Low $89.13 Median $165.96 Typical High $457.09 | Professional | None (both parts) | $89.13 | $165.96 | $457.09 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $91.20 Typical High $229.09 | Professional | 26 · Professional part | $51.29 | $91.20 | $229.09 |
Medica Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $79.43 Typical High $229.09 | Professional | TC · Technical part | $33.88 | $79.43 | $229.09 |
Midlands Setting Professional Modifier None Typical Low $120.23 Median $141.25 Typical High $173.78 | Professional | None | $120.23 | $141.25 | $173.78 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $74.13 Typical High $97.72 | Professional | 26 · Professional part | $72.44 | $74.13 | $97.72 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $69.18 Typical High $85.11 | Professional | TC · Technical part | $46.77 | $69.18 | $85.11 |
Midlands Setting Professional Modifier None (both parts) Typical Low $89.13 Median $141.25 Typical High $173.78 | Professional | None (both parts) | $89.13 | $141.25 | $173.78 |
United Setting Facility Modifier None Typical Low $46.77 Median $50.12 Typical High $63.10 | Facility | None | $46.77 | $50.12 | $63.10 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $147.91 Typical High $173.78 | Professional | None (both parts) | $81.28 | $147.91 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $83.18 Typical High $97.72 | Professional | 26 · Professional part | $47.86 | $83.18 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $66.07 Typical High $81.28 | Professional | TC · Technical part | $33.88 | $66.07 | $81.28 |
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 $32.36 Median $32.36 Typical High $32.36 | Professional | 52 · Reduced service | $32.36 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | 53 · Discontinued | $12.88 | $12.88 | $12.88 |
Where Nebraska sits
The same service costs 3.3 times more in Alaska 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
$138
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.