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 $112.20 Median $112.20 Typical High $158.49 | Facility | None | $112.20 | $112.20 | $158.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $141.25 Typical High $295.12 | Professional | None (both parts) | $112.20 | $141.25 | $295.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.38 Typical High $56.23 | Professional | 26 · Professional part | $21.38 | $21.38 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $117.49 Typical High $239.88 | Professional | TC · Technical part | $91.20 | $117.49 | $239.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $17.38 Typical High $53.70 | Professional | 26 · Professional part | $17.38 | $17.38 | $53.70 |
BCBS Nebraska Setting Facility Modifier None Typical Low $251.19 Median $331.13 Typical High $691.83 | Facility | None | $251.19 | $331.13 | $691.83 |
BCBS Nebraska Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $32.36 Typical High $42.66 | Professional | 26 · Professional part | $18.20 | $32.36 | $42.66 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $138.04 Typical High $181.97 | Professional | TC · Technical part | $77.62 | $138.04 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $245.47 Typical High $295.12 | Professional | None (both parts) | $234.42 | $245.47 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $47.86 Typical High $56.23 | Professional | 26 · Professional part | $44.67 | $47.86 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $199.53 Typical High $245.47 | Professional | TC · Technical part | $190.55 | $199.53 | $245.47 |
Medica Setting Facility Modifier None Typical Low $131.83 Median $218.78 Typical High $562.34 | Facility | None | $131.83 | $218.78 | $562.34 |
Medica Setting Professional Modifier None (both parts) Typical Low $190.55 Median $288.40 Typical High $1,047.13 | Professional | None (both parts) | $190.55 | $288.40 | $1,047.13 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $54.95 Typical High $302.00 | Professional | 26 · Professional part | $37.15 | $54.95 | $302.00 |
Medica Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $234.42 Typical High $912.01 | Professional | TC · Technical part | $158.49 | $234.42 | $912.01 |
Midlands Setting Professional Modifier None Typical Low $239.88 Median $245.47 Typical High $309.03 | Professional | None | $239.88 | $245.47 | $309.03 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $47.86 Typical High $58.88 | Professional | 26 · Professional part | $46.77 | $47.86 | $58.88 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $199.53 Typical High $251.19 | Professional | TC · Technical part | $194.98 | $199.53 | $251.19 |
Midlands Setting Professional Modifier None (both parts) Typical Low $239.88 Median $309.03 Typical High $316.23 | Professional | None (both parts) | $239.88 | $309.03 | $316.23 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $27.54 Median $125.89 Typical High $245.47 | Professional | None (both parts) | $27.54 | $125.89 | $245.47 |
United Setting Facility Modifier None Typical Low $128.82 Median $138.04 Typical High $177.83 | Facility | None | $128.82 | $138.04 | $177.83 |
United Setting Professional Modifier None (both parts) Typical Low $190.55 Median $234.42 Typical High $309.03 | Professional | None (both parts) | $190.55 | $234.42 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $44.67 Typical High $58.88 | Professional | 26 · Professional part | $37.15 | $44.67 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $190.55 Typical High $281.84 | Professional | TC · Technical part | $151.36 | $190.55 | $281.84 |
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 $56.23 Median $56.23 Typical High $79.43 | Professional | 52 · Reduced service | $56.23 | $56.23 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $32.36 | Professional | 53 · Discontinued | $22.39 | $22.39 | $32.36 |
Where Nebraska sits
The same service costs 3.3 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· 5th of 51
$245
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.