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 $117.49 Median $117.49 Typical High $275.42 | Facility | None | $117.49 | $117.49 | $275.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $154.88 Typical High $309.03 | Professional | None (both parts) | $117.49 | $154.88 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $22.91 Typical High $51.29 | Professional | 26 · Professional part | $19.50 | $22.91 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $128.82 Typical High $263.03 | Professional | TC · Technical part | $100.00 | $128.82 | $263.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $47.86 Typical High $48.98 | Professional | 26 · Professional part | $40.74 | $47.86 | $48.98 |
BCBS Nebraska Setting Facility Modifier None Typical Low $316.23 Median $660.69 Typical High $1,380.38 | Facility | None | $316.23 | $660.69 | $1,380.38 |
BCBS Nebraska Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $29.51 Typical High $38.90 | Professional | 26 · Professional part | $16.60 | $29.51 | $38.90 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $151.36 Typical High $199.53 | Professional | TC · Technical part | $85.11 | $151.36 | $199.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $263.03 Typical High $309.03 | Professional | None (both parts) | $251.19 | $263.03 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $42.66 Typical High $51.29 | Professional | 26 · Professional part | $40.74 | $42.66 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $223.87 Typical High $257.04 | Professional | TC · Technical part | $208.93 | $223.87 | $257.04 |
Medica Setting Facility Modifier None Typical Low $194.98 Median $288.40 Typical High $1,258.93 | Facility | None | $194.98 | $288.40 | $1,258.93 |
Medica Setting Professional Modifier None (both parts) Typical Low $194.98 Median $295.12 Typical High $1,174.90 | Professional | None (both parts) | $194.98 | $295.12 | $1,174.90 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $50.12 Typical High $309.03 | Professional | 26 · Professional part | $33.88 | $50.12 | $309.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $251.19 Typical High $1,047.13 | Professional | TC · Technical part | $165.96 | $251.19 | $1,047.13 |
Midlands Setting Professional Modifier None Typical Low $251.19 Median $263.03 Typical High $331.13 | Professional | None | $251.19 | $263.03 | $331.13 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $53.70 | Professional | 26 · Professional part | $42.66 | $42.66 | $53.70 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $223.87 Typical High $275.42 | Professional | TC · Technical part | $208.93 | $223.87 | $275.42 |
Midlands Setting Professional Modifier None (both parts) Typical Low $251.19 Median $331.13 Typical High $331.13 | Professional | None (both parts) | $251.19 | $331.13 | $331.13 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $25.12 Median $134.90 Typical High $269.15 | Professional | None (both parts) | $25.12 | $134.90 | $269.15 |
United Setting Facility Modifier None Typical Low $269.15 Median $288.40 Typical High $363.08 | Facility | None | $269.15 | $288.40 | $363.08 |
United Setting Professional Modifier None (both parts) Typical Low $194.98 Median $245.47 Typical High $338.84 | Professional | None (both parts) | $194.98 | $245.47 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $40.74 Typical High $54.95 | Professional | 26 · Professional part | $33.88 | $40.74 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $204.17 Typical High $316.23 | Professional | TC · Technical part | $162.18 | $204.17 | $316.23 |
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 $58.88 Median $58.88 Typical High $85.11 | Professional | 52 · Reduced service | $58.88 | $58.88 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.44 Typical High $34.67 | Professional | 53 · Discontinued | $23.44 | $23.44 | $34.67 |
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· 4th of 51
$263
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.