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 $144.54 Median $316.23 Typical High $323.59 | Facility | None | $144.54 | $316.23 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $190.55 Typical High $380.19 | Professional | None (both parts) | $144.54 | $190.55 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $28.18 Typical High $57.54 | Professional | 26 · Professional part | $21.88 | $28.18 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $162.18 Typical High $323.59 | Professional | TC · Technical part | $123.03 | $162.18 | $323.59 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $54.95 Typical High $54.95 | Professional | 26 · Professional part | $43.65 | $54.95 | $54.95 |
BCBS Nebraska Setting Facility Modifier None Typical Low $257.04 Median $331.13 Typical High $691.83 | Facility | None | $257.04 | $331.13 | $691.83 |
BCBS Nebraska Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $33.11 Typical High $43.65 | Professional | 26 · Professional part | $18.20 | $33.11 | $43.65 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $186.21 Typical High $245.47 | Professional | TC · Technical part | $104.71 | $186.21 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $331.13 Typical High $389.05 | Professional | None (both parts) | $309.03 | $331.13 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $47.86 Typical High $56.23 | Professional | 26 · Professional part | $45.71 | $47.86 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $281.84 Typical High $331.13 | Professional | TC · Technical part | $263.03 | $281.84 | $331.13 |
Medica Setting Facility Modifier None Typical Low $186.21 Median $275.42 Typical High $758.58 | Facility | None | $186.21 | $275.42 | $758.58 |
Medica Setting Professional Modifier None (both parts) Typical Low $239.88 Median $363.08 Typical High $1,445.44 | Professional | None (both parts) | $239.88 | $363.08 | $1,445.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $54.95 Typical High $295.12 | Professional | 26 · Professional part | $37.15 | $54.95 | $295.12 |
Medica Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $316.23 Typical High $1,288.25 | Professional | TC · Technical part | $213.80 | $316.23 | $1,288.25 |
Midlands Setting Professional Modifier None Typical Low $309.03 Median $331.13 Typical High $407.38 | Professional | None | $309.03 | $331.13 | $407.38 |
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 $263.03 Median $281.84 Typical High $346.74 | Professional | TC · Technical part | $263.03 | $281.84 | $346.74 |
Midlands Setting Professional Modifier None (both parts) Typical Low $309.03 Median $407.38 Typical High $407.38 | Professional | None (both parts) | $309.03 | $407.38 | $407.38 |
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 $239.88 Median $302.00 Typical High $416.87 | Professional | None (both parts) | $239.88 | $302.00 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $44.67 Typical High $61.66 | Professional | 26 · Professional part | $37.15 | $44.67 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $257.04 Typical High $389.05 | Professional | TC · Technical part | $204.17 | $257.04 | $389.05 |
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 $72.44 Median $72.44 Typical High $107.15 | Professional | 52 · Reduced service | $72.44 | $72.44 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $42.66 | Professional | 53 · Discontinued | $28.84 | $28.84 | $42.66 |
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
$324
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.