How much rates vary
Facilitymedian $575 · 10th to 90th $316 to $1,950Professionalmedian $372 · 10th to 90th $200 to $501
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 $169.82 Median $363.08 Typical High $380.19 | Facility | None | $169.82 | $363.08 | $380.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $218.78 Typical High $446.68 | Professional | None (both parts) | $169.82 | $218.78 | $446.68 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $38.90 Typical High $79.43 | Professional | 26 · Professional part | $30.20 | $38.90 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $181.97 Typical High $363.08 | Professional | TC · Technical part | $138.04 | $181.97 | $363.08 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $354.81 Median $426.58 Typical High $426.58 | Professional | None (both parts) | $354.81 | $426.58 | $426.58 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $40.74 Typical High $75.86 | Professional | 26 · Professional part | $25.70 | $40.74 | $75.86 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $154.88 Typical High $288.40 | Professional | TC · Technical part | $154.88 | $154.88 | $288.40 |
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 $25.70 Median $45.71 Typical High $60.26 | Professional | 26 · Professional part | $25.70 | $45.71 | $60.26 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $208.93 Typical High $275.42 | Professional | TC · Technical part | $120.23 | $208.93 | $275.42 |
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 $354.81 Median $371.54 Typical High $446.68 | Professional | None (both parts) | $354.81 | $371.54 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $67.61 Typical High $79.43 | Professional | 26 · Professional part | $63.10 | $67.61 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $302.00 Typical High $371.54 | Professional | TC · Technical part | $295.12 | $302.00 | $371.54 |
Medica Setting Facility Modifier None Typical Low $363.08 Median $1,047.13 Typical High $1,819.70 | Facility | None | $363.08 | $1,047.13 | $1,819.70 |
Medica Setting Professional Modifier None (both parts) Typical Low $288.40 Median $436.52 Typical High $1,584.89 | Professional | None (both parts) | $288.40 | $436.52 | $1,584.89 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $74.13 Typical High $891.25 | Professional | 26 · Professional part | $52.48 | $74.13 | $891.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $363.08 Typical High $1,380.38 | Professional | TC · Technical part | $245.47 | $363.08 | $1,380.38 |
Midlands Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $457.09 | Professional | None | $371.54 | $371.54 | $457.09 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $67.61 Typical High $83.18 | Professional | 26 · Professional part | $64.57 | $67.61 | $83.18 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $302.00 Typical High $380.19 | Professional | TC · Technical part | $302.00 | $302.00 | $380.19 |
Midlands Setting Professional Modifier None (both parts) Typical Low $363.08 Median $457.09 Typical High $489.78 | Professional | None (both parts) | $363.08 | $457.09 | $489.78 |
Oscar Health Setting Facility Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $2,290.87 | Facility | None | $1,949.84 | $1,949.84 | $2,290.87 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $37.15 Median $186.21 Typical High $363.08 | Professional | None (both parts) | $37.15 | $186.21 | $363.08 |
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 $288.40 Median $363.08 Typical High $478.63 | Professional | None (both parts) | $288.40 | $363.08 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $63.10 Typical High $87.10 | Professional | 26 · Professional part | $52.48 | $63.10 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $295.12 Typical High $407.38 | Professional | TC · Technical part | $234.42 | $295.12 | $407.38 |
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 $85.11 Median $85.11 Typical High $109.65 | Professional | 52 · Reduced service | $85.11 | $85.11 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $43.65 | Professional | 53 · Discontinued | $33.88 | $33.88 | $43.65 |
Where Nebraska sits
The same service costs 3.5 times more in Minnesota 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
$372
MN $550UT $158
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.