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 $223.87 Median $223.87 Typical High $323.59 | Facility | None | $223.87 | $223.87 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $288.40 Typical High $588.84 | Professional | None (both parts) | $223.87 | $288.40 | $588.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $44.67 Typical High $89.13 | Professional | 26 · Professional part | $33.88 | $44.67 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $245.47 Typical High $501.19 | Professional | TC · Technical part | $190.55 | $245.47 | $501.19 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 26 · Professional part | $69.18 | $69.18 | $69.18 |
BCBS Nebraska Setting Facility Modifier None Typical Low $257.04 Median $338.84 Typical High $691.83 | Facility | None | $257.04 | $338.84 | $691.83 |
BCBS Nebraska Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $51.29 Typical High $67.61 | Professional | 26 · Professional part | $28.84 | $51.29 | $67.61 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $275.42 Typical High $380.19 | Professional | TC · Technical part | $158.49 | $275.42 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $467.74 Median $512.86 Typical High $616.60 | Professional | None (both parts) | $467.74 | $512.86 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $77.62 Typical High $89.13 | Professional | 26 · Professional part | $72.44 | $77.62 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $436.52 Typical High $524.81 | Professional | TC · Technical part | $398.11 | $436.52 | $524.81 |
Medica Setting Facility Modifier None Typical Low $302.00 Median $407.38 Typical High $1,122.02 | Facility | None | $302.00 | $407.38 | $1,122.02 |
Medica Setting Professional Modifier None (both parts) Typical Low $398.11 Median $562.34 Typical High $1,621.81 | Professional | None (both parts) | $398.11 | $562.34 | $1,621.81 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $87.10 Typical High $234.42 | Professional | 26 · Professional part | $58.88 | $87.10 | $234.42 |
Medica Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $489.78 Typical High $1,380.38 | Professional | TC · Technical part | $338.84 | $489.78 | $1,380.38 |
Midlands Setting Professional Modifier None Typical Low $501.19 Median $512.86 Typical High $616.60 | Professional | None | $501.19 | $512.86 | $616.60 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $77.62 Typical High $91.20 | Professional | 26 · Professional part | $72.44 | $77.62 | $91.20 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $436.52 Typical High $524.81 | Professional | TC · Technical part | $426.58 | $436.52 | $524.81 |
Midlands Setting Professional Modifier None (both parts) Typical Low $478.63 Median $616.60 Typical High $676.08 | Professional | None (both parts) | $478.63 | $616.60 | $676.08 |
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 $398.11 Median $467.74 Typical High $645.65 | Professional | None (both parts) | $398.11 | $467.74 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $69.18 Typical High $95.50 | Professional | 26 · Professional part | $58.88 | $69.18 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $398.11 Typical High $549.54 | Professional | TC · Technical part | $338.84 | $398.11 | $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 $112.20 Median $112.20 Typical High $151.36 | Professional | 52 · Reduced service | $112.20 | $112.20 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $44.67 Typical High $60.26 | Professional | 53 · Discontinued | $44.67 | $44.67 | $60.26 |
Where Nebraska sits
The same service costs 3.1 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
$513
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.