How much rates vary
Facilitymedian $10,471 · 10th to 90th $1,023 to $21,878Professionalmedian $832 · 10th to 90th $380 to $4,467
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 $5,495.41 Median $9,549.93 Typical High $21,877.62 | Facility | None | $5,495.41 | $9,549.93 | $21,877.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $537.03 | Professional | None (both parts) | $380.19 | $380.19 | $537.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | 26 · Professional part | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | TC · Technical part | $229.09 | $229.09 | $229.09 |
BCBS Nebraska Setting Facility Modifier None Typical Low $1,023.29 Median $16,218.10 Typical High $33,884.42 | Facility | None | $1,023.29 | $16,218.10 | $33,884.42 |
BCBS Nebraska Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $223.87 Typical High $295.12 | Professional | 26 · Professional part | $128.82 | $223.87 | $295.12 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $123.03 Typical High $162.18 | Professional | TC · Technical part | $66.07 | $123.03 | $162.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $776.25 Median $851.14 Typical High $1,000.00 | Professional | None (both parts) | $776.25 | $851.14 | $1,000.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $331.13 Typical High $398.11 | Professional | 26 · Professional part | $288.40 | $331.13 | $398.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $562.34 Typical High $660.69 | Professional | TC · Technical part | $478.63 | $562.34 | $660.69 |
Medica Setting Facility Modifier None Typical Low $741.31 Median $1,230.27 Typical High $4,365.16 | Facility | None | $741.31 | $1,230.27 | $4,365.16 |
Medica Setting Professional Modifier None (both parts) Typical Low $338.84 Median $1,047.13 Typical High $4,466.84 | Professional | None (both parts) | $338.84 | $1,047.13 | $4,466.84 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $416.87 Typical High $2,089.30 | Professional | 26 · Professional part | $234.42 | $416.87 | $2,089.30 |
Medica Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $660.69 Typical High $4,168.69 | Professional | TC · Technical part | $104.71 | $660.69 | $4,168.69 |
Midlands Setting Professional Modifier None Typical Low $630.96 Median $1,000.00 Typical High $1,122.02 | Professional | None | $630.96 | $1,000.00 | $1,122.02 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $354.81 Typical High $446.68 | Professional | 26 · Professional part | $331.13 | $354.81 | $446.68 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $660.69 Typical High $660.69 | Professional | TC · Technical part | $537.03 | $660.69 | $660.69 |
Midlands Setting Professional Modifier None (both parts) Typical Low $537.03 Median $912.01 Typical High $1,122.02 | Professional | None (both parts) | $537.03 | $912.01 | $1,122.02 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $1,288.25 Typical High $4,466.84 | Facility | None | $1,047.13 | $1,288.25 | $4,466.84 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $602.56 Typical High $1,071.52 | Professional | None (both parts) | $316.23 | $602.56 | $1,071.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $389.05 Typical High $436.52 | Professional | 26 · Professional part | $218.78 | $389.05 | $436.52 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $223.87 Typical High $691.83 | Professional | TC · Technical part | $97.72 | $223.87 | $691.83 |
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 $190.55 Median $190.55 Typical High $190.55 | Professional | 52 · Reduced service | $190.55 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | 53 · Discontinued | $75.86 | $75.86 | $75.86 |
Where Nebraska sits
The same service costs 3.0 times more in Wisconsin than in North Carolina. 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
$851
WI $1,000NC $331
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.