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 $234.42 Median $234.42 Typical High $346.74 | Facility | None | $234.42 | $234.42 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $234.42 Typical High $309.03 | Professional | None (both parts) | $229.09 | $234.42 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $54.95 | Professional | 26 · Professional part | $42.66 | $42.66 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $194.98 Typical High $251.19 | Professional | TC · Technical part | $177.83 | $194.98 | $251.19 |
BCBS Nebraska Setting Facility Modifier None Typical Low $269.15 Median $489.78 Typical High $1,023.29 | Facility | None | $269.15 | $489.78 | $1,023.29 |
BCBS Nebraska Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $64.57 Typical High $85.11 | Professional | 26 · Professional part | $36.31 | $64.57 | $85.11 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $302.00 Typical High $407.38 | Professional | TC · Technical part | $177.83 | $302.00 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $501.19 Median $524.81 Typical High $616.60 | Professional | None (both parts) | $501.19 | $524.81 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $93.33 Typical High $112.20 | Professional | 26 · Professional part | $89.13 | $93.33 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $426.58 Typical High $512.86 | Professional | TC · Technical part | $407.38 | $426.58 | $512.86 |
Medica Setting Facility Modifier None Typical Low $302.00 Median $416.87 Typical High $1,202.26 | Facility | None | $302.00 | $416.87 | $1,202.26 |
Medica Setting Professional Modifier None (both parts) Typical Low $407.38 Median $616.60 Typical High $1,905.46 | Professional | None (both parts) | $407.38 | $616.60 | $1,905.46 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $109.65 Typical High $588.84 | Professional | 26 · Professional part | $74.13 | $109.65 | $588.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $512.86 Typical High $1,621.81 | Professional | TC · Technical part | $346.74 | $512.86 | $1,621.81 |
Midlands Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $676.08 | Professional | None | $512.86 | $512.86 | $676.08 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $93.33 Typical High $114.82 | Professional | 26 · Professional part | $93.33 | $93.33 | $114.82 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $416.87 Typical High $549.54 | Professional | TC · Technical part | $416.87 | $416.87 | $549.54 |
Midlands Setting Professional Modifier None (both parts) Typical Low $489.78 Median $676.08 Typical High $676.08 | Professional | None (both parts) | $489.78 | $676.08 | $676.08 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $51.29 Median $269.15 Typical High $537.03 | Professional | None (both parts) | $51.29 | $269.15 | $537.03 |
United Setting Facility Modifier None Typical Low $295.12 Median $316.23 Typical High $407.38 | Facility | None | $295.12 | $316.23 | $407.38 |
United Setting Professional Modifier None (both parts) Typical Low $407.38 Median $524.81 Typical High $741.31 | Professional | None (both parts) | $407.38 | $524.81 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $89.13 Typical High $120.23 | Professional | 26 · Professional part | $74.13 | $89.13 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $436.52 Typical High $630.96 | Professional | TC · Technical part | $331.13 | $436.52 | $630.96 |
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 $117.49 Median $117.49 Typical High $151.36 | Professional | 52 · Reduced service | $117.49 | $117.49 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $46.77 Typical High $61.66 | Professional | 53 · Discontinued | $46.77 | $46.77 | $61.66 |
Where Nebraska sits
The same service costs 3.0 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· 4th of 51
$513
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.