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 $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $891.25 Median $891.25 Typical High $1,148.15 | Professional | None (both parts) | $891.25 | $891.25 | $1,148.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $117.49 Typical High $141.25 | Professional | 26 · Professional part | $117.49 | $117.49 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $776.25 Typical High $1,047.13 | Professional | TC · Technical part | $776.25 | $776.25 | $1,047.13 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | 26 · Professional part | $223.87 | $223.87 | $223.87 |
BCBS Nebraska Setting Facility Modifier None Typical Low $1,995.26 Median $3,235.94 Typical High $6,760.83 | Facility | None | $1,995.26 | $3,235.94 | $6,760.83 |
BCBS Nebraska Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $177.83 Typical High $234.42 | Professional | 26 · Professional part | $97.72 | $177.83 | $234.42 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $1,174.90 Typical High $1,548.82 | Professional | TC · Technical part | $660.69 | $1,174.90 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Facility | None | $2,089.30 | $2,089.30 | $2,089.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,698.24 Median $1,949.84 Typical High $2,344.23 | Professional | None (both parts) | $1,698.24 | $1,949.84 | $2,344.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $251.19 Typical High $302.00 | Professional | 26 · Professional part | $251.19 | $251.19 | $302.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,445.44 Median $1,698.24 Typical High $2,041.74 | Professional | TC · Technical part | $1,445.44 | $1,698.24 | $2,041.74 |
Medica Setting Facility Modifier None Typical Low $1,513.56 Median $1,698.24 Typical High $6,918.31 | Facility | None | $1,513.56 | $1,698.24 | $6,918.31 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,348.96 Median $2,041.74 Typical High $6,025.60 | Professional | None (both parts) | $1,348.96 | $2,041.74 | $6,025.60 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $295.12 Typical High $776.25 | Professional | 26 · Professional part | $199.53 | $295.12 | $776.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $1,174.90 Median $1,737.80 Typical High $5,248.07 | Professional | TC · Technical part | $1,174.90 | $1,737.80 | $5,248.07 |
Midlands Setting Professional Modifier None Typical Low $1,698.24 Median $1,949.84 Typical High $2,511.89 | Professional | None | $1,698.24 | $1,949.84 | $2,511.89 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $251.19 Typical High $316.23 | Professional | 26 · Professional part | $251.19 | $251.19 | $316.23 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $1,445.44 Median $1,698.24 Typical High $2,187.76 | Professional | TC · Technical part | $1,445.44 | $1,698.24 | $2,187.76 |
Midlands Setting Professional Modifier None (both parts) Typical Low $1,949.84 Median $2,238.72 Typical High $2,511.89 | Professional | None (both parts) | $1,949.84 | $2,238.72 | $2,511.89 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $1,148.15 Typical High $1,445.44 | Facility | None | $1,071.52 | $1,148.15 | $1,445.44 |
United Setting Professional Modifier None (both parts) Typical Low $1,348.96 Median $1,862.09 Typical High $2,754.23 | Professional | None (both parts) | $1,348.96 | $1,862.09 | $2,754.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $251.19 Typical High $380.19 | Professional | 26 · Professional part | $199.53 | $251.19 | $380.19 |
United Setting Professional Modifier TC · Technical part Typical Low $1,174.90 Median $1,621.81 Typical High $2,398.83 | Professional | TC · Technical part | $1,174.90 | $1,621.81 | $2,398.83 |
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 $446.68 Median $446.68 Typical High $467.74 | Professional | 52 · Reduced service | $446.68 | $446.68 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $177.83 Typical High $186.21 | Professional | 53 · Discontinued | $177.83 | $177.83 | $186.21 |
Where Nebraska sits
The same service costs 2.9 times more in Alaska 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· 6th of 51
$1,905
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.