How much rates vary
Facilitymedian $977 · 10th to 90th $195 to $1,820Professionalmedian $204 · 10th to 90th $117 to $339
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 $89.13 Median $194.98 Typical High $199.53 | Facility | None | $89.13 | $194.98 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $117.49 Typical High $234.42 | Professional | None (both parts) | $89.13 | $117.49 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $30.20 Typical High $61.66 | Professional | 26 · Professional part | $23.44 | $30.20 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $87.10 Typical High $173.78 | Professional | TC · Technical part | $66.07 | $87.10 | $173.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $194.98 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $194.98 | $234.42 | $234.42 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $35.48 Typical High $58.88 | Professional | 26 · Professional part | $20.42 | $35.48 | $58.88 |
BCBS Nebraska Setting Facility Modifier None Typical Low $537.03 Median $1,584.89 Typical High $3,311.31 | Facility | None | $537.03 | $1,584.89 | $3,311.31 |
BCBS Nebraska Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $35.48 Typical High $46.77 | Professional | 26 · Professional part | $19.95 | $35.48 | $46.77 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $102.33 Typical High $131.83 | Professional | TC · Technical part | $57.54 | $102.33 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Facility | None | $537.03 | $537.03 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $204.17 Typical High $234.42 | Professional | None (both parts) | $186.21 | $204.17 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $51.29 Typical High $61.66 | Professional | 26 · Professional part | $48.98 | $51.29 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $151.36 Typical High $173.78 | Professional | TC · Technical part | $134.90 | $151.36 | $173.78 |
Medica Setting Facility Modifier None Typical Low $257.04 Median $851.14 Typical High $1,202.26 | Facility | None | $257.04 | $851.14 | $1,202.26 |
Medica Setting Professional Modifier None (both parts) Typical Low $120.23 Median $229.09 Typical High $691.83 | Professional | None (both parts) | $120.23 | $229.09 | $691.83 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $58.88 Typical High $281.84 | Professional | 26 · Professional part | $33.11 | $58.88 | $281.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $165.96 Typical High $478.63 | Professional | TC · Technical part | $87.10 | $165.96 | $478.63 |
Midlands Setting Professional Modifier None Typical Low $186.21 Median $204.17 Typical High $251.19 | Professional | None | $186.21 | $204.17 | $251.19 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $64.57 | Professional | 26 · Professional part | $51.29 | $51.29 | $64.57 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $151.36 Typical High $190.55 | Professional | TC · Technical part | $134.90 | $151.36 | $190.55 |
Midlands Setting Professional Modifier None (both parts) Typical Low $190.55 Median $245.47 Typical High $251.19 | Professional | None (both parts) | $190.55 | $245.47 | $251.19 |
Oscar Health Setting Facility Modifier None Typical Low $1,148.15 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,148.15 | $1,318.26 | $1,318.26 |
United Setting Facility Modifier None Typical Low $295.12 Median $316.23 Typical High $407.38 | Facility | None | $295.12 | $316.23 | $407.38 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $208.93 Typical High $251.19 | Professional | None (both parts) | $120.23 | $208.93 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $52.48 Typical High $66.07 | Professional | 26 · Professional part | $33.11 | $52.48 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $151.36 Typical High $199.53 | Professional | TC · Technical part | $87.10 | $151.36 | $199.53 |
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 $44.67 Median $44.67 Typical High $58.88 | Professional | 52 · Reduced service | $44.67 | $44.67 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $17.78 Typical High $23.44 | Professional | 53 · Discontinued | $17.78 | $17.78 | $23.44 |
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· 5th of 51
$209
MN $275UT $72.44
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.