How much rates vary
Facilitymedian $776 · 10th to 90th $363 to $1,202Professionalmedian $708 · 10th to 90th $355 to $1,023
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 $354.81 Median $776.25 Typical High $794.33 | Facility | None | $354.81 | $776.25 | $794.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $389.05 Typical High $933.25 | Professional | None (both parts) | $354.81 | $389.05 | $933.25 |
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 $302.00 Median $323.59 Typical High $794.33 | Professional | TC · Technical part | $302.00 | $323.59 | $794.33 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $102.33 Typical High $134.90 | Professional | 26 · Professional part | $85.11 | $102.33 | $134.90 |
BCBS Nebraska Setting Facility Modifier None Typical Low $575.44 Median $812.83 Typical High $1,698.24 | Facility | None | $575.44 | $812.83 | $1,698.24 |
BCBS Nebraska Setting Professional Modifier None (both parts) Typical Low $251.19 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $251.19 | $263.03 | $263.03 |
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 $263.03 Median $467.74 Typical High $602.56 | Professional | TC · Technical part | $263.03 | $467.74 | $602.56 |
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 $691.83 Median $794.33 Typical High $933.25 | Professional | None (both parts) | $691.83 | $794.33 | $933.25 |
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 $575.44 Median $660.69 Typical High $794.33 | Professional | TC · Technical part | $575.44 | $660.69 | $794.33 |
Medica Setting Facility Modifier None Typical Low $457.09 Median $776.25 Typical High $1,202.26 | Facility | None | $457.09 | $776.25 | $1,202.26 |
Medica Setting Professional Modifier None (both parts) Typical Low $524.81 Median $776.25 Typical High $2,454.71 | Professional | None (both parts) | $524.81 | $776.25 | $2,454.71 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $125.89 Typical High $354.81 | Professional | 26 · Professional part | $89.13 | $125.89 | $354.81 |
Medica Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $691.83 Typical High $2,089.30 | Professional | TC · Technical part | $457.09 | $691.83 | $2,089.30 |
Midlands Setting Professional Modifier None Typical Low $691.83 Median $794.33 Typical High $1,023.29 | Professional | None | $691.83 | $794.33 | $1,023.29 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $114.82 Typical High $144.54 | Professional | 26 · Professional part | $114.82 | $114.82 | $144.54 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $660.69 Typical High $891.25 | Professional | TC · Technical part | $575.44 | $660.69 | $891.25 |
Midlands Setting Professional Modifier None (both parts) Typical Low $794.33 Median $912.01 Typical High $1,023.29 | Professional | None (both parts) | $794.33 | $912.01 | $1,023.29 |
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 $549.54 Median $758.58 Typical High $954.99 | Professional | None (both parts) | $549.54 | $758.58 | $954.99 |
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 $457.09 Median $645.65 Typical High $794.33 | Professional | TC · Technical part | $457.09 | $645.65 | $794.33 |
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 $177.83 Median $177.83 Typical High $186.21 | Professional | 52 · Reduced service | $177.83 | $177.83 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $70.79 Typical High $74.13 | Professional | 53 · Discontinued | $70.79 | $70.79 | $74.13 |
Where Nebraska sits
The same service costs 3.0 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· 5th of 51
$724
AK $794NM $269
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.