How much rates vary
Facilitymedian $339 · 10th to 90th $178 to $575Professionalmedian $76 · 10th to 90th $43 to $347
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 $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $36.31 Typical High $41.69 | Professional | None (both parts) | $36.31 | $36.31 | $41.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $13.49 Typical High $15.49 | Professional | 26 · Professional part | $13.49 | $13.49 | $15.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $22.91 Typical High $26.30 | Professional | TC · Technical part | $22.91 | $22.91 | $26.30 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $50.12 Median $75.86 Typical High $75.86 | Professional | None (both parts) | $50.12 | $75.86 | $75.86 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $34.67 Typical High $34.67 | Professional | 26 · Professional part | $26.30 | $34.67 | $34.67 |
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 $11.48 Median $19.50 Typical High $25.70 | Professional | 26 · Professional part | $11.48 | $19.50 | $25.70 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $33.11 Typical High $43.65 | Professional | TC · Technical part | $19.05 | $33.11 | $43.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $75.86 Typical High $95.50 | Professional | None (both parts) | $64.57 | $75.86 | $95.50 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $29.51 Typical High $35.48 | Professional | 26 · Professional part | $25.12 | $29.51 | $35.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $45.71 Typical High $58.88 | Professional | TC · Technical part | $38.90 | $45.71 | $58.88 |
Medica Setting Facility Modifier None Typical Low $67.61 Median $338.84 Typical High $457.09 | Facility | None | $67.61 | $338.84 | $457.09 |
Medica Setting Professional Modifier None (both parts) Typical Low $58.88 Median $89.13 Typical High $346.74 | Professional | None (both parts) | $58.88 | $89.13 | $346.74 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $36.31 Typical High $89.13 | Professional | 26 · Professional part | $23.44 | $36.31 | $89.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $57.54 Typical High $199.53 | Professional | TC · Technical part | $35.48 | $57.54 | $199.53 |
Midlands Setting Professional Modifier None Typical Low $75.86 Median $85.11 Typical High $104.71 | Professional | None | $75.86 | $85.11 | $104.71 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $29.51 Typical High $38.90 | Professional | 26 · Professional part | $29.51 | $29.51 | $38.90 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $54.95 Typical High $67.61 | Professional | TC · Technical part | $45.71 | $54.95 | $67.61 |
Midlands Setting Professional Modifier None (both parts) Typical Low $61.66 Median $87.10 Typical High $104.71 | Professional | None (both parts) | $61.66 | $87.10 | $104.71 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $33.11 Typical High $38.02 | Professional | 26 · Professional part | $24.55 | $33.11 | $38.02 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $54.95 Typical High $67.61 | Professional | TC · Technical part | $42.66 | $54.95 | $67.61 |
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 $58.88 Median $81.28 Typical High $95.50 | Professional | None (both parts) | $58.88 | $81.28 | $95.50 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $32.36 Typical High $38.02 | Professional | 26 · Professional part | $23.44 | $32.36 | $38.02 |
United Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $48.98 Typical High $58.88 | Professional | TC · Technical part | $35.48 | $48.98 | $58.88 |
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 $18.20 Median $18.20 Typical High $19.05 | Professional | 52 · Reduced service | $18.20 | $18.20 | $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 2.7 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· 3rd of 51
$79.43
MN $83.18UT $30.90
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.