How much rates vary
Facilitymedian $513 · 10th to 90th $49 to $2,138Professionalmedian $51 · 10th to 90th $30 to $85
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 $22.91 Median $48.98 Typical High $51.29 | Facility | None | $22.91 | $48.98 | $51.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $29.51 Typical High $60.26 | Professional | None (both parts) | $22.91 | $29.51 | $60.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $8.71 Typical High $17.38 | Professional | 26 · Professional part | $6.61 | $8.71 | $17.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $20.89 Typical High $42.66 | Professional | TC · Technical part | $16.22 | $20.89 | $42.66 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $9.55 Typical High $17.38 | Professional | 26 · Professional part | $9.55 | $9.55 | $17.38 |
BCBS Nebraska Setting Facility Modifier None Typical Low $102.33 Median $1,584.89 Typical High $3,311.31 | Facility | None | $102.33 | $1,584.89 | $3,311.31 |
BCBS Nebraska Setting Professional Modifier None (both parts) Typical Low $23.99 Median $40.74 Typical High $54.95 | Professional | None (both parts) | $23.99 | $40.74 | $54.95 |
BCBS Nebraska Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $10.00 Typical High $13.18 | Professional | 26 · Professional part | $5.62 | $10.00 | $13.18 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $24.55 Typical High $32.36 | Professional | TC · Technical part | $14.13 | $24.55 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $51.29 Typical High $66.07 | Professional | None (both parts) | $47.86 | $51.29 | $66.07 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $14.45 Typical High $17.38 | Professional | 26 · Professional part | $13.80 | $14.45 | $17.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $36.31 Typical High $47.86 | Professional | TC · Technical part | $33.88 | $36.31 | $47.86 |
Medica Setting Facility Modifier None Typical Low $44.67 Median $251.19 Typical High $524.81 | Facility | None | $44.67 | $251.19 | $524.81 |
Medica Setting Professional Modifier None (both parts) Typical Low $32.36 Median $61.66 Typical High $645.65 | Professional | None (both parts) | $32.36 | $61.66 | $645.65 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $16.98 Typical High $229.09 | Professional | 26 · Professional part | $9.33 | $16.98 | $229.09 |
Medica Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $43.65 Typical High $537.03 | Professional | TC · Technical part | $22.91 | $43.65 | $537.03 |
Midlands Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $63.10 | Professional | None | $51.29 | $51.29 | $63.10 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $15.14 Typical High $18.62 | Professional | 26 · Professional part | $14.45 | $15.14 | $18.62 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $36.31 Typical High $44.67 | Professional | TC · Technical part | $36.31 | $36.31 | $44.67 |
Midlands Setting Professional Modifier None (both parts) Typical Low $48.98 Median $63.10 Typical High $67.61 | Professional | None (both parts) | $48.98 | $63.10 | $67.61 |
United Setting Professional Modifier None (both parts) Typical Low $32.36 Median $52.48 Typical High $74.13 | Professional | None (both parts) | $32.36 | $52.48 | $74.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $15.14 Typical High $19.05 | Professional | 26 · Professional part | $9.33 | $15.14 | $19.05 |
United Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $37.15 Typical High $61.66 | Professional | TC · Technical part | $22.91 | $37.15 | $61.66 |
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 $11.48 Median $11.48 Typical High $15.85 | Professional | 52 · Reduced service | $11.48 | $11.48 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $4.57 Typical High $6.31 | Professional | 53 · Discontinued | $4.57 | $4.57 | $6.31 |
Where Nebraska sits
The same service costs 2.7 times more in Minnesota than in Maryland. 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· 8th of 51
$52.48
MN $69.18MD $25.70
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.