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 $109.65 Median $109.65 Typical High $158.49 | Facility | None | $109.65 | $109.65 | $158.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $288.40 | Professional | None (both parts) | $109.65 | $109.65 | $288.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $147.91 | Professional | 26 · Professional part | $56.23 | $56.23 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $58.88 Typical High $138.04 | Professional | TC · Technical part | $52.48 | $58.88 | $138.04 |
BCBS Nebraska Setting Facility Modifier None Typical Low $269.15 Median $489.78 Typical High $1,023.29 | Facility | None | $269.15 | $489.78 | $1,023.29 |
BCBS Nebraska Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $85.11 Typical High $112.20 | Professional | 26 · Professional part | $47.86 | $85.11 | $112.20 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $79.43 Typical High $104.71 | Professional | TC · Technical part | $44.67 | $79.43 | $104.71 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $245.47 Typical High $316.23 | Professional | None (both parts) | $229.09 | $245.47 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $123.03 Typical High $147.91 | Professional | 26 · Professional part | $117.49 | $123.03 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $123.03 Typical High $154.88 | Professional | TC · Technical part | $112.20 | $123.03 | $154.88 |
Medica Setting Facility Modifier None Typical Low $131.83 Median $208.93 Typical High $645.65 | Facility | None | $131.83 | $208.93 | $645.65 |
Medica Setting Professional Modifier None (both parts) Typical Low $190.55 Median $288.40 Typical High $1,071.52 | Professional | None (both parts) | $190.55 | $288.40 | $1,071.52 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $141.25 Typical High $371.54 | Professional | 26 · Professional part | $95.50 | $141.25 | $371.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $138.04 Typical High $707.95 | Professional | TC · Technical part | $91.20 | $138.04 | $707.95 |
Midlands Setting Professional Modifier None Typical Low $239.88 Median $245.47 Typical High $309.03 | Professional | None | $239.88 | $245.47 | $309.03 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $123.03 Typical High $154.88 | Professional | 26 · Professional part | $123.03 | $123.03 | $154.88 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $123.03 Typical High $151.36 | Professional | TC · Technical part | $117.49 | $123.03 | $151.36 |
Midlands Setting Professional Modifier None (both parts) Typical Low $229.09 Median $302.00 Typical High $316.23 | Professional | None (both parts) | $229.09 | $302.00 | $316.23 |
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 $186.21 Median $234.42 Typical High $323.59 | Professional | None (both parts) | $186.21 | $234.42 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $117.49 Typical High $158.49 | Professional | 26 · Professional part | $95.50 | $117.49 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $109.65 Typical High $162.18 | Professional | TC · Technical part | $89.13 | $109.65 | $162.18 |
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 $54.95 Median $54.95 Typical High $79.43 | Professional | 52 · Reduced service | $54.95 | $54.95 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $31.62 | Professional | 53 · Discontinued | $21.88 | $21.88 | $31.62 |
Where Nebraska sits
The same service costs 4.6 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
$251
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.