How much rates vary
Facilitymedian $1,349 · 10th to 90th $398 to $3,090Professionalmedian $468 · 10th to 90th $288 to $851
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 $204.17 Median $204.17 Typical High $302.00 | Facility | None | $204.17 | $204.17 | $302.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $245.47 Typical High $537.03 | Professional | None (both parts) | $204.17 | $245.47 | $537.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $213.80 | Professional | 26 · Professional part | $81.28 | $81.28 | $213.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $154.88 Typical High $323.59 | Professional | TC · Technical part | $123.03 | $154.88 | $323.59 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 26 · Professional part | $83.18 | $83.18 | $83.18 |
BCBS Nebraska Setting Facility Modifier None Typical Low $588.84 Median $1,584.89 Typical High $3,311.31 | Facility | None | $588.84 | $1,584.89 | $3,311.31 |
BCBS Nebraska Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $123.03 Typical High $162.18 | Professional | 26 · Professional part | $69.18 | $123.03 | $162.18 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $186.21 Typical High $245.47 | Professional | TC · Technical part | $107.15 | $186.21 | $245.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $467.74 Typical High $562.34 | Professional | None (both parts) | $436.52 | $467.74 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $177.83 Typical High $213.80 | Professional | 26 · Professional part | $169.82 | $177.83 | $213.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $288.40 Typical High $346.74 | Professional | TC · Technical part | $257.04 | $288.40 | $346.74 |
Medica Setting Facility Modifier None Typical Low $316.23 Median $398.11 Typical High $1,000.00 | Facility | None | $316.23 | $398.11 | $1,000.00 |
Medica Setting Professional Modifier None (both parts) Typical Low $288.40 Median $549.54 Typical High $1,479.11 | Professional | None (both parts) | $288.40 | $549.54 | $1,479.11 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $169.82 Typical High $562.34 | Professional | 26 · Professional part | $114.82 | $169.82 | $562.34 |
Medica Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $331.13 Typical High $1,174.90 | Professional | TC · Technical part | $173.78 | $331.13 | $1,174.90 |
Midlands Setting Professional Modifier None Typical Low $446.68 Median $467.74 Typical High $575.44 | Professional | None | $446.68 | $467.74 | $575.44 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $177.83 Typical High $223.87 | Professional | 26 · Professional part | $177.83 | $177.83 | $223.87 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $288.40 Typical High $354.81 | Professional | TC · Technical part | $275.42 | $288.40 | $354.81 |
Midlands Setting Professional Modifier None (both parts) Typical Low $436.52 Median $575.44 Typical High $602.56 | Professional | None (both parts) | $436.52 | $575.44 | $602.56 |
United Setting Professional Modifier None (both parts) Typical Low $288.40 Median $467.74 Typical High $630.96 | Professional | None (both parts) | $288.40 | $467.74 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $173.78 Typical High $223.87 | Professional | 26 · Professional part | $114.82 | $173.78 | $223.87 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $288.40 Typical High $501.19 | Professional | TC · Technical part | $173.78 | $288.40 | $501.19 |
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 $102.33 Median $102.33 Typical High $151.36 | Professional | 52 · Reduced service | $102.33 | $102.33 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $40.74 Typical High $60.26 | Professional | 53 · Discontinued | $40.74 | $40.74 | $60.26 |
Where Nebraska sits
The same service costs 4.7 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
$468
AK $589UT $126
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.