How much rates vary
Facilitymedian $282 · 10th to 90th $138 to $603Professionalmedian $269 · 10th to 90th $120 to $417
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 $120.23 Typical High $190.55 | Facility | None | $120.23 | $120.23 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $158.49 | Professional | None (both parts) | $120.23 | $120.23 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $20.89 Typical High $27.54 | Professional | 26 · Professional part | $20.89 | $20.89 | $27.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $100.00 Typical High $154.88 | Professional | TC · Technical part | $100.00 | $100.00 | $154.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $117.49 | Professional | None (both parts) | $89.13 | $89.13 | $117.49 |
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 $144.54 Typical High $199.53 | Professional | TC · Technical part | $83.18 | $144.54 | $199.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $316.23 | Professional | None (both parts) | $257.04 | $257.04 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $47.86 Typical High $56.23 | Professional | 26 · Professional part | $43.65 | $47.86 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $213.80 Typical High $269.15 | Professional | TC · Technical part | $208.93 | $213.80 | $269.15 |
Medica Setting Facility Modifier None Typical Low $131.83 Median $223.87 Typical High $602.56 | Facility | None | $131.83 | $223.87 | $602.56 |
Medica Setting Professional Modifier None (both parts) Typical Low $229.09 Median $323.59 Typical High $851.14 | Professional | None (both parts) | $229.09 | $323.59 | $851.14 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $53.70 Typical High $147.91 | Professional | 26 · Professional part | $37.15 | $53.70 | $147.91 |
Medica Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $288.40 Typical High $691.83 | Professional | TC · Technical part | $190.55 | $288.40 | $691.83 |
Midlands Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $323.59 | Professional | None | $257.04 | $257.04 | $323.59 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $47.86 Typical High $57.54 | Professional | 26 · Professional part | $45.71 | $47.86 | $57.54 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $213.80 Typical High $263.03 | Professional | TC · Technical part | $213.80 | $213.80 | $263.03 |
Midlands Setting Professional Modifier None (both parts) Typical Low $251.19 Median $323.59 Typical High $338.84 | Professional | None (both parts) | $251.19 | $323.59 | $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 $229.09 Median $275.42 Typical High $371.54 | Professional | None (both parts) | $229.09 | $275.42 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $43.65 Typical High $60.26 | Professional | 26 · Professional part | $37.15 | $43.65 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $229.09 Typical High $316.23 | Professional | TC · Technical part | $190.55 | $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 3.8 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· 8th of 51
$269
AK $363UT $95.50
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.