How much rates vary
Facilitymedian $355 · 10th to 90th $129 to $708Professionalmedian $123 · 10th to 90th $72 to $724
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 $58.88 Median $128.82 Typical High $131.83 | Facility | None | $58.88 | $128.82 | $131.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $58.88 Typical High $154.88 | Professional | None (both parts) | $58.88 | $58.88 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $67.61 | Professional | 26 · Professional part | $25.70 | $25.70 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $33.11 Typical High $87.10 | Professional | TC · Technical part | $33.11 | $33.11 | $87.10 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | 26 · Professional part | $64.57 | $64.57 | $64.57 |
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 $21.88 Median $38.02 Typical High $50.12 | Professional | 26 · Professional part | $21.88 | $38.02 | $50.12 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $46.77 Typical High $63.10 | Professional | TC · Technical part | $27.54 | $46.77 | $63.10 |
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 $97.72 Median $114.82 Typical High $154.88 | Professional | None (both parts) | $97.72 | $114.82 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $57.54 Typical High $67.61 | Professional | 26 · Professional part | $48.98 | $57.54 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $57.54 Typical High $85.11 | Professional | TC · Technical part | $48.98 | $57.54 | $85.11 |
Medica Setting Facility Modifier None Typical Low $109.65 Median $457.09 Typical High $1,318.26 | Facility | None | $109.65 | $457.09 | $1,318.26 |
Medica Setting Professional Modifier None (both parts) Typical Low $89.13 Median $144.54 Typical High $724.44 | Professional | None (both parts) | $89.13 | $144.54 | $724.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $69.18 Typical High $331.13 | Professional | 26 · Professional part | $44.67 | $69.18 | $331.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $79.43 Typical High $562.34 | Professional | TC · Technical part | $44.67 | $79.43 | $562.34 |
Midlands Setting Professional Modifier None Typical Low $114.82 Median $141.25 Typical High $173.78 | Professional | None | $114.82 | $141.25 | $173.78 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $58.88 Typical High $75.86 | Professional | 26 · Professional part | $57.54 | $58.88 | $75.86 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $75.86 Typical High $100.00 | Professional | TC · Technical part | $57.54 | $75.86 | $100.00 |
Midlands Setting Professional Modifier None (both parts) Typical Low $102.33 Median $141.25 Typical High $173.78 | Professional | None (both parts) | $102.33 | $141.25 | $173.78 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $61.66 Typical High $74.13 | Professional | 26 · Professional part | $51.29 | $61.66 | $74.13 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $81.28 Typical High $100.00 | Professional | TC · Technical part | $61.66 | $81.28 | $100.00 |
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 $89.13 Median $125.89 Typical High $154.88 | Professional | None (both parts) | $89.13 | $125.89 | $154.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $63.10 Typical High $74.13 | Professional | 26 · Professional part | $44.67 | $63.10 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $67.61 Typical High $83.18 | Professional | TC · Technical part | $44.67 | $67.61 | $83.18 |
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 $29.51 Median $29.51 Typical High $29.51 | Professional | 52 · Reduced service | $29.51 | $29.51 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $11.75 Typical High $12.02 | Professional | 53 · Discontinued | $11.75 | $11.75 | $12.02 |
Where Nebraska sits
The same service costs 3.6 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
$126
MN $141TX $38.90
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.