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 $218.78 Median $467.74 Typical High $478.63 | Facility | None | $218.78 | $467.74 | $478.63 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $281.84 Typical High $575.44 | Professional | None (both parts) | $218.78 | $281.84 | $575.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $44.67 Typical High $91.20 | Professional | 26 · Professional part | $34.67 | $44.67 | $91.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $234.42 Typical High $478.63 | Professional | TC · Technical part | $181.97 | $234.42 | $478.63 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $457.09 | Professional | None (both parts) | $245.47 | $245.47 | $457.09 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $46.77 Typical High $87.10 | Professional | 26 · Professional part | $38.90 | $46.77 | $87.10 |
BCBS Nebraska Setting Facility Modifier None Typical Low $380.19 Median $501.19 Typical High $1,023.29 | Facility | None | $380.19 | $501.19 | $1,023.29 |
BCBS Nebraska Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $52.48 Typical High $69.18 | Professional | 26 · Professional part | $29.51 | $52.48 | $69.18 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $275.42 Typical High $363.08 | Professional | TC · Technical part | $158.49 | $275.42 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Facility | None | $537.03 | $537.03 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $457.09 Median $478.63 Typical High $562.34 | Professional | None (both parts) | $457.09 | $478.63 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $75.86 Typical High $91.20 | Professional | 26 · Professional part | $72.44 | $75.86 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $407.38 Typical High $478.63 | Professional | TC · Technical part | $380.19 | $407.38 | $478.63 |
Medica Setting Facility Modifier None Typical Low $302.00 Median $831.76 Typical High $1,548.82 | Facility | None | $302.00 | $831.76 | $1,548.82 |
Medica Setting Professional Modifier None (both parts) Typical Low $380.19 Median $549.54 Typical High $1,949.84 | Professional | None (both parts) | $380.19 | $549.54 | $1,949.84 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $85.11 Typical High $398.11 | Professional | 26 · Professional part | $60.26 | $85.11 | $398.11 |
Medica Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $489.78 Typical High $1,778.28 | Professional | TC · Technical part | $323.59 | $489.78 | $1,778.28 |
Midlands Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $588.84 | Professional | None | $478.63 | $478.63 | $588.84 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $75.86 Typical High $93.33 | Professional | 26 · Professional part | $74.13 | $75.86 | $93.33 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $407.38 Typical High $501.19 | Professional | TC · Technical part | $398.11 | $407.38 | $501.19 |
Midlands Setting Professional Modifier None (both parts) Typical Low $457.09 Median $588.84 Typical High $645.65 | Professional | None (both parts) | $457.09 | $588.84 | $645.65 |
Oscar Health Setting Facility Modifier None Typical Low $741.31 Median $851.14 Typical High $851.14 | Facility | None | $741.31 | $851.14 | $851.14 |
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 $380.19 Median $457.09 Typical High $616.60 | Professional | None (both parts) | $380.19 | $457.09 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $72.44 Typical High $97.72 | Professional | 26 · Professional part | $53.70 | $72.44 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $389.05 Typical High $549.54 | Professional | TC · Technical part | $316.23 | $389.05 | $549.54 |
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 $107.15 Median $107.15 Typical High $141.25 | Professional | 52 · Reduced service | $107.15 | $107.15 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $43.65 Typical High $56.23 | Professional | 53 · Discontinued | $43.65 | $43.65 | $56.23 |
Where Nebraska sits
The same service costs 3.2 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
$479
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.