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 $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $263.03 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | 26 · Professional part | $223.87 | $223.87 | $223.87 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | TC · Technical part | $42.66 | $42.66 | $42.66 |
BCBS Nebraska Setting Facility Modifier None Typical Low $331.13 Median $467.74 Typical High $891.25 | Facility | None | $331.13 | $467.74 | $891.25 |
BCBS Nebraska Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $316.23 Typical High $426.58 | Professional | 26 · Professional part | $186.21 | $316.23 | $426.58 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $61.66 Typical High $81.28 | Professional | TC · Technical part | $35.48 | $61.66 | $81.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $467.74 Median $549.54 Typical High $691.83 | Professional | None (both parts) | $467.74 | $549.54 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $416.87 Median $478.63 Typical High $575.44 | Professional | 26 · Professional part | $416.87 | $478.63 | $575.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $72.44 Typical High $102.33 | Professional | TC · Technical part | $52.48 | $72.44 | $102.33 |
Medica Setting Facility Modifier None Typical Low $371.54 Median $512.86 Typical High $1,288.25 | Facility | None | $371.54 | $512.86 | $1,288.25 |
Medica Setting Professional Modifier None (both parts) Typical Low $478.63 Median $707.95 Typical High $3,548.13 | Professional | None (both parts) | $478.63 | $707.95 | $3,548.13 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $398.11 Median $588.84 Typical High $1,479.11 | Professional | 26 · Professional part | $398.11 | $588.84 | $1,479.11 |
Medica Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $112.20 Typical High $2,137.96 | Professional | TC · Technical part | $56.23 | $112.20 | $2,137.96 |
Midlands Setting Professional Modifier None Typical Low $549.54 Median $602.56 Typical High $724.44 | Professional | None | $549.54 | $602.56 | $724.44 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $478.63 Median $549.54 Typical High $645.65 | Professional | 26 · Professional part | $478.63 | $549.54 | $645.65 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $93.33 Typical High $114.82 | Professional | TC · Technical part | $61.66 | $93.33 | $114.82 |
Midlands Setting Professional Modifier None (both parts) Typical Low $416.87 Median $575.44 Typical High $707.95 | Professional | None (both parts) | $416.87 | $575.44 | $707.95 |
United Setting Facility Modifier None Typical Low $380.19 Median $407.38 Typical High $524.81 | Facility | None | $380.19 | $407.38 | $524.81 |
United Setting Professional Modifier None (both parts) Typical Low $457.09 Median $645.65 Typical High $724.44 | Professional | None (both parts) | $457.09 | $645.65 | $724.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $398.11 Median $537.03 Typical High $630.96 | Professional | 26 · Professional part | $398.11 | $537.03 | $630.96 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $87.10 Typical High $114.82 | Professional | TC · Technical part | $56.23 | $87.10 | $114.82 |
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 $131.83 Median $131.83 Typical High $131.83 | Professional | 52 · Reduced service | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 53 · Discontinued | $52.48 | $52.48 | $52.48 |
Where Nebraska sits
The same service costs 3.3 times more in Minnesota 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· 4th of 51
$562
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.