How much rates vary
Facilitymedian $219 · 10th to 90th $55 to $457Professionalmedian $59 · 10th to 90th $25 to $98
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 $25.12 Median $54.95 Typical High $56.23 | Facility | None | $25.12 | $54.95 | $56.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $25.12 Typical High $66.07 | Professional | None (both parts) | $25.12 | $25.12 | $66.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $7.59 Typical High $18.62 | Professional | 26 · Professional part | $7.59 | $7.59 | $18.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $17.38 Typical High $45.71 | Professional | TC · Technical part | $17.38 | $17.38 | $45.71 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $25.12 Median $36.31 Typical High $69.18 | Professional | None (both parts) | $25.12 | $36.31 | $69.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $10.96 Typical High $19.95 | Professional | 26 · Professional part | $9.33 | $10.96 | $19.95 |
BCBS Nebraska Setting Facility Modifier None Typical Low $147.91 Median $213.80 Typical High $407.38 | Facility | None | $147.91 | $213.80 | $407.38 |
BCBS Nebraska Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $10.96 Typical High $14.79 | Professional | 26 · Professional part | $6.46 | $10.96 | $14.79 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $25.12 Typical High $33.88 | Professional | TC · Technical part | $14.79 | $25.12 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $60.26 Typical High $67.61 | Professional | None (both parts) | $52.48 | $60.26 | $67.61 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $16.60 Typical High $19.95 | Professional | 26 · Professional part | $14.13 | $16.60 | $19.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $42.66 Typical High $50.12 | Professional | TC · Technical part | $37.15 | $42.66 | $50.12 |
Medica Setting Facility Modifier None Typical Low $46.77 Median $245.47 Typical High $338.84 | Facility | None | $46.77 | $245.47 | $338.84 |
Medica Setting Professional Modifier None (both parts) Typical Low $52.48 Median $91.20 Typical High $398.11 | Professional | None (both parts) | $52.48 | $91.20 | $398.11 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $22.91 Typical High $131.83 | Professional | 26 · Professional part | $13.18 | $22.91 | $131.83 |
Medica Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $69.18 Typical High $134.90 | Professional | TC · Technical part | $39.81 | $69.18 | $134.90 |
Midlands Setting Professional Modifier None Typical Low $58.88 Median $66.07 Typical High $74.13 | Professional | None | $58.88 | $66.07 | $74.13 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $16.98 Typical High $22.39 | Professional | 26 · Professional part | $16.60 | $16.98 | $22.39 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $50.12 Typical High $52.48 | Professional | TC · Technical part | $42.66 | $50.12 | $52.48 |
Midlands Setting Professional Modifier None (both parts) Typical Low $52.48 Median $60.26 Typical High $74.13 | Professional | None (both parts) | $52.48 | $60.26 | $74.13 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $18.20 Typical High $21.38 | Professional | 26 · Professional part | $14.79 | $18.20 | $21.38 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $42.66 Typical High $52.48 | Professional | TC · Technical part | $37.15 | $42.66 | $52.48 |
Oscar Health Setting Facility Modifier None Typical Low $457.09 Median $489.78 Typical High $524.81 | Facility | None | $457.09 | $489.78 | $524.81 |
United Setting Facility Modifier None Typical Low $269.15 Median $288.40 Typical High $363.08 | Facility | None | $269.15 | $288.40 | $363.08 |
United Setting Professional Modifier None (both parts) Typical Low $51.29 Median $74.13 Typical High $91.20 | Professional | None (both parts) | $51.29 | $74.13 | $91.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $18.20 Typical High $22.91 | Professional | 26 · Professional part | $13.18 | $18.20 | $22.91 |
United Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $54.95 Typical High $69.18 | Professional | TC · Technical part | $35.48 | $54.95 | $69.18 |
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 $12.59 Median $12.59 Typical High $13.18 | Professional | 52 · Reduced service | $12.59 | $12.59 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.01 Typical High $5.25 | Professional | 53 · Discontinued | $5.01 | $5.01 | $5.25 |
Where Nebraska sits
The same service costs 2.5 times more in Minnesota than in Texas. 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· 3rd of 51
$60.26
MN $67.61TX $26.92
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.