How much rates vary
Facilitymedian $98 · 10th to 90th $55 to $204Professionalmedian $151 · 10th to 90th $72 to $372
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 $72.44 Median $72.44 Typical High $102.33 | Facility | None | $72.44 | $72.44 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $177.83 | Professional | None (both parts) | $72.44 | $72.44 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $85.11 | Professional | 26 · Professional part | $34.67 | $34.67 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $38.02 Typical High $93.33 | Professional | TC · Technical part | $38.02 | $38.02 | $93.33 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $147.91 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $147.91 | $181.97 | $181.97 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $89.13 Typical High $89.13 | Professional | 26 · Professional part | $72.44 | $89.13 | $89.13 |
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 None (both parts) Typical Low $35.48 Median $37.15 Typical High $37.15 | Professional | None (both parts) | $35.48 | $37.15 | $37.15 |
BCBS Nebraska Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $50.12 Typical High $67.61 | Professional | 26 · Professional part | $29.51 | $50.12 | $67.61 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $56.23 Typical High $74.13 | Professional | TC · Technical part | $33.11 | $56.23 | $74.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $134.90 Typical High $173.78 | Professional | None (both parts) | $107.15 | $134.90 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $75.86 Typical High $91.20 | Professional | 26 · Professional part | $64.57 | $75.86 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $52.48 Typical High $95.50 | Professional | TC · Technical part | $41.69 | $52.48 | $95.50 |
Medica Setting Facility Modifier None Typical Low $46.77 Median $107.15 Typical High $354.81 | Facility | None | $46.77 | $107.15 | $354.81 |
Medica Setting Professional Modifier None (both parts) Typical Low $112.20 Median $165.96 Typical High $562.34 | Professional | None (both parts) | $112.20 | $165.96 | $562.34 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $93.33 Typical High $234.42 | Professional | 26 · Professional part | $64.57 | $93.33 | $234.42 |
Medica Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $100.00 Typical High $288.40 | Professional | TC · Technical part | $40.74 | $100.00 | $288.40 |
Midlands Setting Professional Modifier None Typical Low $125.89 Median $158.49 Typical High $194.98 | Professional | None | $125.89 | $158.49 | $194.98 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $100.00 | Professional | 26 · Professional part | $75.86 | $75.86 | $100.00 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $83.18 Typical High $102.33 | Professional | TC · Technical part | $48.98 | $83.18 | $102.33 |
Midlands Setting Professional Modifier None (both parts) Typical Low $87.10 Median $158.49 Typical High $194.98 | Professional | None (both parts) | $87.10 | $158.49 | $194.98 |
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 $112.20 Median $162.18 Typical High $190.55 | Professional | None (both parts) | $112.20 | $162.18 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $85.11 Typical High $100.00 | Professional | 26 · Professional part | $63.10 | $85.11 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $77.62 Typical High $100.00 | Professional | TC · Technical part | $46.77 | $77.62 | $100.00 |
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 $36.31 Median $36.31 Typical High $36.31 | Professional | 52 · Reduced service | $36.31 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | 53 · Discontinued | $14.45 | $14.45 | $14.45 |
Where Nebraska sits
The same service costs 3.4 times more in Alaska than in New York. 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· 5th of 51
$148
AK $182NY $53.70
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.