How much rates vary
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 $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None (both parts) | $81.28 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $18.62 Typical High $19.50 | Professional | 26 · Professional part | $18.62 | $18.62 | $19.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | TC · Technical part | $61.66 | $61.66 | $61.66 |
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 $15.49 Median $26.30 Typical High $35.48 | Professional | 26 · Professional part | $15.49 | $26.30 | $35.48 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $87.10 Typical High $114.82 | Professional | TC · Technical part | $51.29 | $87.10 | $114.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $138.04 Typical High $208.93 | Professional | None (both parts) | $117.49 | $138.04 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $39.81 Typical High $48.98 | Professional | 26 · Professional part | $33.88 | $39.81 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $97.72 Typical High $162.18 | Professional | TC · Technical part | $83.18 | $97.72 | $162.18 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $194.98 Typical High $398.11 | Facility | None | $54.95 | $194.98 | $398.11 |
Medica Setting Professional Modifier None (both parts) Typical Low $100.00 Median $181.97 Typical High $446.68 | Professional | None (both parts) | $100.00 | $181.97 | $446.68 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $48.98 Typical High $323.59 | Professional | 26 · Professional part | $29.51 | $48.98 | $323.59 |
Medica Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $125.89 Typical High $346.74 | Professional | TC · Technical part | $69.18 | $125.89 | $346.74 |
Midlands Setting Professional Modifier None Typical Low $138.04 Median $181.97 Typical High $281.84 | Professional | None | $138.04 | $181.97 | $281.84 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $46.77 Typical High $57.54 | Professional | 26 · Professional part | $39.81 | $46.77 | $57.54 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $128.82 Typical High $223.87 | Professional | TC · Technical part | $97.72 | $128.82 | $223.87 |
Midlands Setting Professional Modifier None (both parts) Typical Low $134.90 Median $199.53 Typical High $281.84 | Professional | None (both parts) | $134.90 | $199.53 | $281.84 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $46.77 Typical High $57.54 | Professional | 26 · Professional part | $35.48 | $46.77 | $57.54 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $151.36 Typical High $223.87 | Professional | TC · Technical part | $97.72 | $151.36 | $223.87 |
United Setting Facility Modifier None Typical Low $158.49 Median $169.82 Typical High $218.78 | Facility | None | $158.49 | $169.82 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $151.36 Typical High $194.98 | Professional | None (both parts) | $100.00 | $151.36 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $43.65 Typical High $50.12 | Professional | 26 · Professional part | $29.51 | $43.65 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $112.20 Typical High $147.91 | Professional | TC · Technical part | $69.18 | $112.20 | $147.91 |
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 $40.74 Median $40.74 Typical High $40.74 | Professional | 52 · Reduced service | $40.74 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | 53 · Discontinued | $16.22 | $16.22 | $16.22 |
Where Nebraska sits
The same service costs 3.5 times more in North Dakota than in Kentucky. 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· 5th of 51
$151
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.