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 $120.23 Median $263.03 Typical High $269.15 | Facility | None | $120.23 | $263.03 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $158.49 Typical High $316.23 | Professional | None (both parts) | $120.23 | $158.49 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $27.54 Typical High $54.95 | Professional | 26 · Professional part | $20.89 | $27.54 | $54.95 |
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 $23.44 Median $23.44 Typical High $52.48 | Professional | 26 · Professional part | $23.44 | $23.44 | $52.48 |
BCBS Nebraska Setting Facility Modifier None Typical Low $251.19 Median $331.13 Typical High $691.83 | Facility | None | $251.19 | $331.13 | $691.83 |
BCBS Nebraska Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $31.62 Typical High $41.69 | Professional | 26 · Professional part | $17.78 | $31.62 | $41.69 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $151.36 Typical High $199.53 | Professional | TC · Technical part | $83.18 | $151.36 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $257.04 Typical High $316.23 | Professional | None (both parts) | $251.19 | $257.04 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $46.77 Typical High $54.95 | Professional | 26 · Professional part | $44.67 | $46.77 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $213.80 Typical High $263.03 | Professional | TC · Technical part | $208.93 | $213.80 | $263.03 |
Medica Setting Facility Modifier None Typical Low $158.49 Median $316.23 Typical High $1,023.29 | Facility | None | $158.49 | $316.23 | $1,023.29 |
Medica Setting Professional Modifier None (both parts) Typical Low $223.87 Median $331.13 Typical High $1,230.27 | Professional | None (both parts) | $223.87 | $331.13 | $1,230.27 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $52.48 Typical High $239.88 | Professional | 26 · Professional part | $37.15 | $52.48 | $239.88 |
Medica Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $281.84 Typical High $1,122.02 | Professional | TC · Technical part | $190.55 | $281.84 | $1,122.02 |
Midlands Setting Professional Modifier None Typical Low $251.19 Median $257.04 Typical High $323.59 | Professional | None | $251.19 | $257.04 | $323.59 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $46.77 Typical High $57.54 | Professional | 26 · Professional part | $44.67 | $46.77 | $57.54 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $213.80 Typical High $263.03 | Professional | TC · Technical part | $208.93 | $213.80 | $263.03 |
Midlands Setting Professional Modifier None (both parts) Typical Low $251.19 Median $316.23 Typical High $338.84 | Professional | None (both parts) | $251.19 | $316.23 | $338.84 |
United Setting Facility Modifier None Typical Low $128.82 Median $138.04 Typical High $177.83 | Facility | None | $128.82 | $138.04 | $177.83 |
United Setting Professional Modifier None (both parts) Typical Low $223.87 Median $275.42 Typical High $363.08 | Professional | None (both parts) | $223.87 | $275.42 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $43.65 Typical High $60.26 | Professional | 26 · Professional part | $36.31 | $43.65 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $229.09 Typical High $316.23 | Professional | TC · Technical part | $186.21 | $229.09 | $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 $60.26 Median $60.26 Typical High $79.43 | Professional | 52 · Reduced service | $60.26 | $60.26 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $31.62 | Professional | 53 · Discontinued | $23.99 | $23.99 | $31.62 |
Where Nebraska sits
The same service costs 3.7 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· 6th of 51
$269
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.