How much rates vary
Facilitymedian $339 · 10th to 90th $46 to $1,413Professionalmedian $48 · 10th to 90th $30 to $135
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 $20.89 Median $45.71 Typical High $46.77 | Facility | None | $20.89 | $45.71 | $46.77 |
Aetna Setting Professional Modifier None (both parts) Typical Low $20.89 Median $27.54 Typical High $54.95 | Professional | None (both parts) | $20.89 | $27.54 | $54.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $2.95 Median $3.80 Typical High $7.76 | Professional | 26 · Professional part | $2.95 | $3.80 | $7.76 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $23.99 Typical High $47.86 | Professional | TC · Technical part | $18.20 | $23.99 | $47.86 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $42.66 Median $42.66 Typical High $43.65 | Professional | None (both parts) | $42.66 | $42.66 | $43.65 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $4.47 Median $6.31 Typical High $8.13 | Professional | 26 · Professional part | $4.47 | $6.31 | $8.13 |
BCBS Setting Facility Modifier None Typical Low $173.78 Median $331.13 Typical High $691.83 | Facility | None | $173.78 | $331.13 | $691.83 |
BCBS Setting Professional Modifier None (both parts) Typical Low $22.39 Median $38.02 Typical High $51.29 | Professional | None (both parts) | $22.39 | $38.02 | $51.29 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $2.51 Median $4.47 Typical High $5.89 | Professional | 26 · Professional part | $2.51 | $4.47 | $5.89 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $27.54 Typical High $36.31 | Professional | TC · Technical part | $15.85 | $27.54 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $47.86 Typical High $61.66 | Professional | None (both parts) | $44.67 | $47.86 | $61.66 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $6.46 Typical High $8.13 | Professional | 26 · Professional part | $6.17 | $6.46 | $8.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $40.74 Typical High $53.70 | Professional | TC · Technical part | $38.02 | $40.74 | $53.70 |
Medica Setting Facility Modifier None Typical Low $107.15 Median $407.38 Typical High $602.56 | Facility | None | $107.15 | $407.38 | $602.56 |
Medica Setting Professional Modifier None (both parts) Typical Low $30.20 Median $57.54 Typical High $724.44 | Professional | None (both parts) | $30.20 | $57.54 | $724.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $4.17 Median $7.59 Typical High $288.40 | Professional | 26 · Professional part | $4.17 | $7.59 | $288.40 |
Medica Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $50.12 Typical High $660.69 | Professional | TC · Technical part | $26.30 | $50.12 | $660.69 |
Midlands Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $58.88 | Professional | None | $47.86 | $47.86 | $58.88 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $6.92 Typical High $8.71 | Professional | 26 · Professional part | $6.46 | $6.92 | $8.71 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $40.74 Typical High $50.12 | Professional | TC · Technical part | $40.74 | $40.74 | $50.12 |
Midlands Setting Professional Modifier None (both parts) Typical Low $45.71 Median $58.88 Typical High $63.10 | Professional | None (both parts) | $45.71 | $58.88 | $63.10 |
Oscar Health Setting Facility Modifier None Typical Low $1,412.54 Median $1,659.59 Typical High $1,698.24 | Facility | None | $1,412.54 | $1,659.59 | $1,698.24 |
United Setting Professional Modifier None (both parts) Typical Low $30.20 Median $48.98 Typical High $70.79 | Professional | None (both parts) | $30.20 | $48.98 | $70.79 |
United Setting Professional Modifier 26 · Professional part Typical Low $4.17 Median $6.61 Typical High $8.32 | Professional | 26 · Professional part | $4.17 | $6.61 | $8.32 |
United Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $42.66 Typical High $60.26 | Professional | TC · Technical part | $26.30 | $42.66 | $60.26 |
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 $10.47 Median $10.47 Typical High $15.49 | Professional | 52 · Reduced service | $10.47 | $10.47 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $4.17 Typical High $6.17 | Professional | 53 · Discontinued | $4.17 | $4.17 | $6.17 |
Where Nebraska sits
The same service costs 2.9 times more in Kansas than in Florida. 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· 10th of 51
$48.98
KS $74.13FL $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.