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 $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 26 · Professional part | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | TC · Technical part | $45.71 | $45.71 | $45.71 |
BCBS Nebraska Setting Facility Modifier None Typical Low $562.34 Median $16,218.10 Typical High $33,884.42 | Facility | None | $562.34 | $16,218.10 | $33,884.42 |
BCBS Nebraska Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $194.98 Typical High $257.04 | Professional | 26 · Professional part | $114.82 | $194.98 | $257.04 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $67.61 Typical High $89.13 | Professional | TC · Technical part | $38.90 | $67.61 | $89.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $389.05 Typical High $467.74 | Professional | None (both parts) | $331.13 | $389.05 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $288.40 Typical High $346.74 | Professional | 26 · Professional part | $251.19 | $288.40 | $346.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $97.72 Typical High $117.49 | Professional | TC · Technical part | $83.18 | $97.72 | $117.49 |
Medica Setting Facility Modifier None Typical Low $346.74 Median $1,230.27 Typical High $4,365.16 | Facility | None | $346.74 | $1,230.27 | $4,365.16 |
Medica Setting Professional Modifier None (both parts) Typical Low $269.15 Median $588.84 Typical High $1,258.93 | Professional | None (both parts) | $269.15 | $588.84 | $1,258.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $380.19 Typical High $891.25 | Professional | 26 · Professional part | $204.17 | $380.19 | $891.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $208.93 Typical High $512.86 | Professional | TC · Technical part | $66.07 | $208.93 | $512.86 |
Midlands Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $512.86 | Professional | None | $389.05 | $389.05 | $512.86 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $295.12 Typical High $389.05 | Professional | 26 · Professional part | $288.40 | $295.12 | $389.05 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $107.15 Typical High $128.82 | Professional | TC · Technical part | $97.72 | $107.15 | $128.82 |
Midlands Setting Professional Modifier None (both parts) Typical Low $331.13 Median $389.05 Typical High $489.78 | Professional | None (both parts) | $331.13 | $389.05 | $489.78 |
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 $251.19 Median $457.09 Typical High $602.56 | Professional | None (both parts) | $251.19 | $457.09 | $602.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $338.84 Typical High $389.05 | Professional | 26 · Professional part | $186.21 | $338.84 | $389.05 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $114.82 Typical High $213.80 | Professional | TC · Technical part | $61.66 | $114.82 | $213.80 |
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 $89.13 Median $89.13 Typical High $89.13 | Professional | 52 · Reduced service | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | 53 · Discontinued | $36.31 | $36.31 | $36.31 |
Where Nebraska sits
The same service costs 3.5 times more in Alaska than in Utah. 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· 6th of 51
$389
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.