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 $416.87 Median $891.25 Typical High $933.25 | Facility | None | $416.87 | $891.25 | $933.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $436.52 Typical High $1,096.48 | Professional | None (both parts) | $416.87 | $436.52 | $1,096.48 |
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 $363.08 Median $380.19 Typical High $954.99 | Professional | TC · Technical part | $363.08 | $380.19 | $954.99 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None (both parts) | $416.87 | $416.87 | $416.87 |
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 $309.03 Median $549.54 Typical High $724.44 | Professional | TC · Technical part | $309.03 | $549.54 | $724.44 |
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 $812.83 Median $912.01 Typical High $1,071.52 | Professional | None (both parts) | $812.83 | $912.01 | $1,071.52 |
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 $691.83 Median $794.33 Typical High $954.99 | Professional | TC · Technical part | $691.83 | $794.33 | $954.99 |
Medica Setting Facility Modifier None Typical Low $457.09 Median $1,023.29 Typical High $1,548.82 | Facility | None | $457.09 | $1,023.29 | $1,548.82 |
Medica Setting Professional Modifier None (both parts) Typical Low $616.60 Median $912.01 Typical High $2,884.03 | Professional | None (both parts) | $616.60 | $912.01 | $2,884.03 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $125.89 Typical High $354.81 | Professional | 26 · Professional part | $91.20 | $125.89 | $354.81 |
Medica Setting Professional Modifier TC · Technical part Typical Low $549.54 Median $851.14 Typical High $2,511.89 | Professional | TC · Technical part | $549.54 | $851.14 | $2,511.89 |
Midlands Setting Professional Modifier None Typical Low $812.83 Median $912.01 Typical High $1,202.26 | Professional | None | $812.83 | $912.01 | $1,202.26 |
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 $691.83 Median $776.25 Typical High $1,047.13 | Professional | TC · Technical part | $691.83 | $776.25 | $1,047.13 |
Midlands Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,071.52 Typical High $1,202.26 | Professional | None (both parts) | $912.01 | $1,071.52 | $1,202.26 |
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 $645.65 Median $870.96 Typical High $1,096.48 | Professional | None (both parts) | $645.65 | $870.96 | $1,096.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $112.20 Typical High $165.96 | Professional | 26 · Professional part | $91.20 | $112.20 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $549.54 Median $758.58 Typical High $933.25 | Professional | TC · Technical part | $549.54 | $758.58 | $933.25 |
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 $208.93 Median $208.93 Typical High $218.78 | Professional | 52 · Reduced service | $208.93 | $208.93 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $83.18 Typical High $87.10 | Professional | 53 · Discontinued | $83.18 | $83.18 | $87.10 |
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· 7th of 51
$813
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.