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 $29.51 Median $29.51 Typical High $42.66 | Facility | None | $29.51 | $29.51 | $42.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None (both parts) | $29.51 | $29.51 | $29.51 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | 26 · Professional part | $11.75 | $11.75 | $11.75 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | TC · Technical part | $17.38 | $17.38 | $17.38 |
BCBS Nebraska Setting Facility Modifier None Typical Low $125.89 Median $173.78 Typical High $363.08 | Facility | None | $125.89 | $173.78 | $363.08 |
BCBS Nebraska Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $16.98 Typical High $22.91 | Professional | 26 · Professional part | $10.00 | $16.98 | $22.91 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $25.12 Typical High $33.88 | Professional | TC · Technical part | $14.79 | $25.12 | $33.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $58.88 Typical High $75.86 | Professional | None (both parts) | $50.12 | $58.88 | $75.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $25.12 Typical High $30.90 | Professional | 26 · Professional part | $21.38 | $25.12 | $30.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $33.11 Typical High $44.67 | Professional | TC · Technical part | $28.18 | $33.11 | $44.67 |
Medica Setting Facility Modifier None Typical Low $51.29 Median $87.10 Typical High $186.21 | Facility | None | $51.29 | $87.10 | $186.21 |
Medica Setting Professional Modifier None (both parts) Typical Low $39.81 Median $70.79 Typical High $363.08 | Professional | None (both parts) | $39.81 | $70.79 | $363.08 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $30.90 Typical High $223.87 | Professional | 26 · Professional part | $17.38 | $30.90 | $223.87 |
Medica Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $44.67 Typical High $281.84 | Professional | TC · Technical part | $22.39 | $44.67 | $281.84 |
Midlands Setting Professional Modifier None Typical Low $58.88 Median $66.07 Typical High $83.18 | Professional | None | $58.88 | $66.07 | $83.18 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.70 Typical High $33.11 | Professional | 26 · Professional part | $25.12 | $25.70 | $33.11 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $40.74 Typical High $51.29 | Professional | TC · Technical part | $33.11 | $40.74 | $51.29 |
Midlands Setting Professional Modifier None (both parts) Typical Low $44.67 Median $66.07 Typical High $83.18 | Professional | None (both parts) | $44.67 | $66.07 | $83.18 |
United Setting Facility Modifier None Typical Low $72.44 Median $77.62 Typical High $100.00 | Facility | None | $72.44 | $77.62 | $100.00 |
United Setting Professional Modifier None (both parts) Typical Low $36.31 Median $64.57 Typical High $74.13 | Professional | None (both parts) | $36.31 | $64.57 | $74.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $27.54 Typical High $33.11 | Professional | 26 · Professional part | $16.22 | $27.54 | $33.11 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $38.02 Typical High $43.65 | Professional | TC · Technical part | $20.42 | $38.02 | $43.65 |
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 $14.79 Median $14.79 Typical High $14.79 | Professional | 52 · Reduced service | $14.79 | $14.79 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $5.89 Typical High $5.89 | Professional | 53 · Discontinued | $5.89 | $5.89 | $5.89 |
Where Nebraska sits
The same service costs 2.6 times more in Minnesota than in Alabama. 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
$63.10
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.