How much rates vary
Facilitymedian $501 · 10th to 90th $78 to $813Professionalmedian $95 · 10th to 90th $36 to $166
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 $36.31 Median $77.62 Typical High $79.43 | Facility | None | $36.31 | $77.62 | $79.43 |
Aetna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $36.31 Typical High $95.50 | Professional | None (both parts) | $36.31 | $36.31 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $9.55 Typical High $25.12 | Professional | 26 · Professional part | $9.55 | $9.55 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $26.30 Typical High $69.18 | Professional | TC · Technical part | $26.30 | $26.30 | $69.18 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $36.31 Median $61.66 Typical High $100.00 | Professional | None (both parts) | $36.31 | $61.66 | $100.00 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $18.20 Typical High $24.55 | Professional | 26 · Professional part | $15.49 | $18.20 | $24.55 |
BCBS Nebraska Setting Facility Modifier None Typical Low $257.04 Median $363.08 Typical High $691.83 | Facility | None | $257.04 | $363.08 | $691.83 |
BCBS Nebraska Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $13.80 Typical High $18.62 | Professional | 26 · Professional part | $8.13 | $13.80 | $18.62 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $38.02 Typical High $51.29 | Professional | TC · Technical part | $22.39 | $38.02 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Facility | None | $575.44 | $575.44 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $95.50 Typical High $112.20 | Professional | None (both parts) | $75.86 | $95.50 | $112.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $22.91 Typical High $26.30 | Professional | 26 · Professional part | $19.95 | $22.91 | $26.30 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $74.13 Typical High $87.10 | Professional | TC · Technical part | $54.95 | $74.13 | $87.10 |
Medica Setting Facility Modifier None Typical Low $269.15 Median $616.60 Typical High $831.76 | Facility | None | $269.15 | $616.60 | $831.76 |
Medica Setting Professional Modifier None (both parts) Typical Low $85.11 Median $134.90 Typical High $630.96 | Professional | None (both parts) | $85.11 | $134.90 | $630.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $35.48 Typical High $223.87 | Professional | 26 · Professional part | $20.42 | $35.48 | $223.87 |
Medica Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $120.23 Typical High $257.04 | Professional | TC · Technical part | $67.61 | $120.23 | $257.04 |
Midlands Setting Professional Modifier None Typical Low $87.10 Median $107.15 Typical High $112.20 | Professional | None | $87.10 | $107.15 | $112.20 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $25.70 Typical High $28.18 | Professional | 26 · Professional part | $21.38 | $25.70 | $28.18 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $81.28 Typical High $87.10 | Professional | TC · Technical part | $66.07 | $81.28 | $87.10 |
Midlands Setting Professional Modifier None (both parts) Typical Low $75.86 Median $89.13 Typical High $107.15 | Professional | None (both parts) | $75.86 | $89.13 | $107.15 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $22.91 Typical High $26.92 | Professional | 26 · Professional part | $19.95 | $22.91 | $26.92 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $66.07 Typical High $81.28 | Professional | TC · Technical part | $56.23 | $66.07 | $81.28 |
Oscar Health Setting Facility Modifier None Typical Low $707.95 Median $812.83 Typical High $831.76 | Facility | None | $707.95 | $812.83 | $831.76 |
United Setting Facility Modifier None Typical Low $467.74 Median $501.19 Typical High $630.96 | Facility | None | $467.74 | $501.19 | $630.96 |
United Setting Professional Modifier None (both parts) Typical Low $74.13 Median $125.89 Typical High $154.88 | Professional | None (both parts) | $74.13 | $125.89 | $154.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $28.18 Typical High $35.48 | Professional | 26 · Professional part | $19.95 | $28.18 | $35.48 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $95.50 Typical High $120.23 | Professional | TC · Technical part | $54.95 | $95.50 | $120.23 |
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 $17.78 Median $17.78 Typical High $19.05 | Professional | 52 · Reduced service | $17.78 | $17.78 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.24 Typical High $7.59 | Professional | 53 · Discontinued | $7.24 | $7.24 | $7.59 |
Where Nebraska sits
The same service costs 3.3 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· 2nd of 51
$95.50
MN $105UT $31.62
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.