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 $316.23 Median $691.83 Typical High $707.95 | Facility | None | $316.23 | $691.83 | $707.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $363.08 Typical High $831.76 | Professional | None (both parts) | $316.23 | $363.08 | $831.76 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $60.26 Typical High $138.04 | Professional | 26 · Professional part | $52.48 | $60.26 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $302.00 Typical High $707.95 | Professional | TC · Technical part | $269.15 | $302.00 | $707.95 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $107.15 Typical High $138.04 | Professional | 26 · Professional part | $56.23 | $107.15 | $138.04 |
BCBS Nebraska Setting Facility Modifier None Typical Low $575.44 Median $1,023.29 Typical High $2,137.96 | Facility | None | $575.44 | $1,023.29 | $2,137.96 |
BCBS Nebraska Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $81.28 Typical High $104.71 | Professional | 26 · Professional part | $44.67 | $81.28 | $104.71 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $407.38 Typical High $537.03 | Professional | TC · Technical part | $229.09 | $407.38 | $537.03 |
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 $616.60 Median $707.95 Typical High $831.76 | Professional | None (both parts) | $616.60 | $707.95 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $114.82 Typical High $138.04 | Professional | 26 · Professional part | $114.82 | $114.82 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $588.84 Typical High $691.83 | Professional | TC · Technical part | $501.19 | $588.84 | $691.83 |
Medica Setting Facility Modifier None Typical Low $457.09 Median $851.14 Typical High $1,584.89 | Facility | None | $457.09 | $851.14 | $1,584.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $478.63 Median $758.58 Typical High $2,238.72 | Professional | None (both parts) | $478.63 | $758.58 | $2,238.72 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $134.90 Typical High $776.25 | Professional | 26 · Professional part | $89.13 | $134.90 | $776.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $616.60 Typical High $1,862.09 | Professional | TC · Technical part | $398.11 | $616.60 | $1,862.09 |
Midlands Setting Professional Modifier None Typical Low $616.60 Median $707.95 Typical High $954.99 | Professional | None | $616.60 | $707.95 | $954.99 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $114.82 Typical High $151.36 | Professional | 26 · Professional part | $114.82 | $114.82 | $151.36 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $588.84 Typical High $812.83 | Professional | TC · Technical part | $501.19 | $588.84 | $812.83 |
Midlands Setting Professional Modifier None (both parts) Typical Low $707.95 Median $812.83 Typical High $954.99 | Professional | None (both parts) | $707.95 | $812.83 | $954.99 |
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 $489.78 Median $660.69 Typical High $1,174.90 | Professional | None (both parts) | $489.78 | $660.69 | $1,174.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $112.20 Typical High $165.96 | Professional | 26 · Professional part | $89.13 | $112.20 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $562.34 Typical High $1,023.29 | Professional | TC · Technical part | $398.11 | $562.34 | $1,023.29 |
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 $158.49 Median $158.49 Typical High $165.96 | Professional | 52 · Reduced service | $158.49 | $158.49 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $64.57 Typical High $67.61 | Professional | 53 · Discontinued | $64.57 | $64.57 | $67.61 |
Where Nebraska sits
The same service costs 3.2 times more in Alaska than in New Mexico. 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· 4th of 51
$692
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.