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 $323.59 Median $549.54 Typical High $549.54 | Facility | None | $323.59 | $549.54 | $549.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $549.54 Median $549.54 Typical High $676.08 | Professional | None (both parts) | $549.54 | $549.54 | $676.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $117.49 Typical High $151.36 | Professional | 26 · Professional part | $117.49 | $117.49 | $151.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $512.86 Typical High $676.08 | Professional | TC · Technical part | $512.86 | $512.86 | $676.08 |
BCBS Nebraska Setting Facility Modifier None Typical Low $1,122.02 Median $1,584.89 Typical High $3,311.31 | Facility | None | $1,122.02 | $1,584.89 | $3,311.31 |
BCBS Nebraska Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $177.83 Typical High $234.42 | Professional | 26 · Professional part | $100.00 | $177.83 | $234.42 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $213.80 Typical High $295.12 | Professional | TC · Technical part | $131.83 | $213.80 | $295.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $562.34 Typical High $707.95 | Professional | None (both parts) | $478.63 | $562.34 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $257.04 Typical High $323.59 | Professional | 26 · Professional part | $251.19 | $257.04 | $323.59 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $295.12 Typical High $407.38 | Professional | TC · Technical part | $229.09 | $295.12 | $407.38 |
Medica Setting Facility Modifier None Typical Low $309.03 Median $912.01 Typical High $2,290.87 | Facility | None | $309.03 | $912.01 | $2,290.87 |
Medica Setting Professional Modifier None (both parts) Typical Low $660.69 Median $1,258.93 Typical High $2,454.71 | Professional | None (both parts) | $660.69 | $1,258.93 | $2,454.71 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $302.00 Typical High $1,148.15 | Professional | 26 · Professional part | $165.96 | $302.00 | $1,148.15 |
Medica Setting Professional Modifier TC · Technical part Typical Low $562.34 Median $1,000.00 Typical High $1,949.84 | Professional | TC · Technical part | $562.34 | $1,000.00 | $1,949.84 |
Midlands Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $741.31 | Professional | None | $562.34 | $562.34 | $741.31 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $257.04 Typical High $338.84 | Professional | 26 · Professional part | $257.04 | $257.04 | $338.84 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $309.03 Typical High $407.38 | Professional | TC · Technical part | $295.12 | $309.03 | $407.38 |
Midlands Setting Professional Modifier None (both parts) Typical Low $436.52 Median $691.83 Typical High $741.31 | Professional | None (both parts) | $436.52 | $691.83 | $741.31 |
United Setting Facility Modifier None Typical Low $676.08 Median $724.44 Typical High $933.25 | Facility | None | $676.08 | $724.44 | $933.25 |
United Setting Professional Modifier None (both parts) Typical Low $660.69 Median $1,148.15 Typical High $1,548.82 | Professional | None (both parts) | $660.69 | $1,148.15 | $1,548.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $269.15 Typical High $338.84 | Professional | 26 · Professional part | $165.96 | $269.15 | $338.84 |
United Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $891.25 Typical High $1,148.15 | Professional | TC · Technical part | $524.81 | $891.25 | $1,148.15 |
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 $275.42 Median $275.42 Typical High $354.81 | Professional | 52 · Reduced service | $275.42 | $275.42 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $109.65 Typical High $141.25 | Professional | 53 · Discontinued | $109.65 | $109.65 | $141.25 |
Where Nebraska sits
The same service costs 3.1 times more in Alaska than in Washington. 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· 4th of 51
$794
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.