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 $158.49 Median $158.49 Typical High $223.87 | Facility | None | $158.49 | $158.49 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $199.53 | Professional | None (both parts) | $158.49 | $158.49 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $97.72 | Professional | 26 · Professional part | $81.28 | $81.28 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $75.86 Typical High $102.33 | Professional | TC · Technical part | $75.86 | $75.86 | $102.33 |
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 $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 $190.55 Median $316.23 Typical High $436.52 | Professional | TC · Technical part | $190.55 | $316.23 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $446.68 Typical High $524.81 | Professional | None (both parts) | $331.13 | $446.68 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $181.97 Typical High $229.09 | Professional | 26 · Professional part | $173.78 | $181.97 | $229.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $223.87 Typical High $346.74 | Professional | TC · Technical part | $165.96 | $223.87 | $346.74 |
Medica Setting Facility Modifier None Typical Low $223.87 Median $302.00 Typical High $776.25 | Facility | None | $223.87 | $302.00 | $776.25 |
Medica Setting Professional Modifier None (both parts) Typical Low $338.84 Median $588.84 Typical High $1,230.27 | Professional | None (both parts) | $338.84 | $588.84 | $1,230.27 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $208.93 Typical High $549.54 | Professional | 26 · Professional part | $114.82 | $208.93 | $549.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $398.11 Typical High $1,096.48 | Professional | TC · Technical part | $218.78 | $398.11 | $1,096.48 |
Midlands Setting Professional Modifier None Typical Low $416.87 Median $524.81 Typical High $524.81 | Professional | None | $416.87 | $524.81 | $524.81 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $181.97 Typical High $239.88 | Professional | 26 · Professional part | $177.83 | $181.97 | $239.88 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $346.74 Typical High $346.74 | Professional | TC · Technical part | $208.93 | $346.74 | $346.74 |
Midlands Setting Professional Modifier None (both parts) Typical Low $346.74 Median $457.09 Typical High $676.08 | Professional | None (both parts) | $346.74 | $457.09 | $676.08 |
United Setting Professional Modifier None (both parts) Typical Low $338.84 Median $562.34 Typical High $724.44 | Professional | None (both parts) | $338.84 | $562.34 | $724.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $181.97 Typical High $234.42 | Professional | 26 · Professional part | $114.82 | $181.97 | $234.42 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $371.54 Typical High $489.78 | Professional | TC · Technical part | $218.78 | $371.54 | $489.78 |
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 $79.43 Median $79.43 Typical High $102.33 | Professional | 52 · Reduced service | $79.43 | $79.43 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $41.69 | Professional | 53 · Discontinued | $31.62 | $31.62 | $41.69 |
Where Nebraska sits
The same service costs 3.1 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· 2nd of 51
$525
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.