How much rates vary
Facilitymedian $257 · 10th to 90th $155 to $575Professionalmedian $162 · 10th to 90th $87 to $234
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 $74.13 Median $162.18 Typical High $165.96 | Facility | None | $74.13 | $162.18 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $97.72 Typical High $194.98 | Professional | None (both parts) | $74.13 | $97.72 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $14.13 Typical High $28.18 | Professional | 26 · Professional part | $10.72 | $14.13 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $93.33 Typical High $165.96 | Professional | TC · Technical part | $63.10 | $93.33 | $165.96 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $154.88 Median $190.55 Typical High $190.55 | Professional | None (both parts) | $154.88 | $190.55 | $190.55 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $15.49 Typical High $26.92 | Professional | 26 · Professional part | $9.33 | $15.49 | $26.92 |
BCBS Nebraska Setting Facility Modifier None Typical Low $245.47 Median $331.13 Typical High $691.83 | Facility | None | $245.47 | $331.13 | $691.83 |
BCBS Nebraska Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $16.22 Typical High $21.38 | Professional | 26 · Professional part | $9.12 | $16.22 | $21.38 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $95.50 Typical High $125.89 | Professional | TC · Technical part | $54.95 | $95.50 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $165.96 Typical High $199.53 | Professional | None (both parts) | $158.49 | $165.96 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $24.55 Typical High $29.51 | Professional | 26 · Professional part | $22.91 | $24.55 | $29.51 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $141.25 Typical High $169.82 | Professional | TC · Technical part | $134.90 | $141.25 | $169.82 |
Medica Setting Facility Modifier None Typical Low $144.54 Median $380.19 Typical High $575.44 | Facility | None | $144.54 | $380.19 | $575.44 |
Medica Setting Professional Modifier None (both parts) Typical Low $125.89 Median $190.55 Typical High $776.25 | Professional | None (both parts) | $125.89 | $190.55 | $776.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $26.92 Typical High $269.15 | Professional | 26 · Professional part | $19.05 | $26.92 | $269.15 |
Medica Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $162.18 Typical High $691.83 | Professional | TC · Technical part | $109.65 | $162.18 | $691.83 |
Midlands Setting Professional Modifier None Typical Low $162.18 Median $165.96 Typical High $204.17 | Professional | None | $162.18 | $165.96 | $204.17 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $24.55 Typical High $29.51 | Professional | 26 · Professional part | $23.44 | $24.55 | $29.51 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $141.25 Typical High $177.83 | Professional | TC · Technical part | $138.04 | $141.25 | $177.83 |
Midlands Setting Professional Modifier None (both parts) Typical Low $158.49 Median $204.17 Typical High $213.80 | Professional | None (both parts) | $158.49 | $204.17 | $213.80 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $13.49 Median $83.18 Typical High $169.82 | Professional | None (both parts) | $13.49 | $83.18 | $169.82 |
United Setting Facility Modifier None Typical Low $165.96 Median $177.83 Typical High $223.87 | Facility | None | $165.96 | $177.83 | $223.87 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $158.49 Typical High $218.78 | Professional | None (both parts) | $125.89 | $158.49 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $22.91 Typical High $31.62 | Professional | 26 · Professional part | $19.05 | $22.91 | $31.62 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $134.90 Typical High $208.93 | Professional | TC · Technical part | $107.15 | $134.90 | $208.93 |
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 $37.15 Median $37.15 Typical High $53.70 | Professional | 52 · Reduced service | $37.15 | $37.15 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $14.79 Typical High $21.38 | Professional | 53 · Discontinued | $14.79 | $14.79 | $21.38 |
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
$166
AK $209UT $63.10
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.