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 $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $93.33 | Professional | None (both parts) | $89.13 | $89.13 | $93.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $37.15 | Professional | 26 · Professional part | $36.31 | $36.31 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $52.48 Typical High $56.23 | Professional | TC · Technical part | $52.48 | $52.48 | $56.23 |
BCBS Nebraska Setting Facility Modifier None Typical Low $630.96 Median $851.14 Typical High $1,698.24 | Facility | None | $630.96 | $851.14 | $1,698.24 |
BCBS Nebraska Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $54.95 Typical High $72.44 | Professional | 26 · Professional part | $30.90 | $54.95 | $72.44 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $93.33 Typical High $131.83 | Professional | TC · Technical part | $57.54 | $93.33 | $131.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $194.98 Typical High $245.47 | Professional | None (both parts) | $190.55 | $194.98 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $79.43 Typical High $93.33 | Professional | 26 · Professional part | $77.62 | $79.43 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $114.82 Typical High $147.91 | Professional | TC · Technical part | $114.82 | $114.82 | $147.91 |
Medica Setting Facility Modifier None Typical Low $81.28 Median $436.52 Typical High $891.25 | Facility | None | $81.28 | $436.52 | $891.25 |
Medica Setting Professional Modifier None (both parts) Typical Low $154.88 Median $229.09 Typical High $1,548.82 | Professional | None (both parts) | $154.88 | $229.09 | $1,548.82 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $91.20 Typical High $257.04 | Professional | 26 · Professional part | $63.10 | $91.20 | $257.04 |
Medica Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $141.25 Typical High $1,513.56 | Professional | TC · Technical part | $91.20 | $141.25 | $1,513.56 |
Midlands Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $257.04 | Professional | None | $194.98 | $194.98 | $257.04 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $102.33 | Professional | 26 · Professional part | $77.62 | $77.62 | $102.33 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $114.82 Typical High $154.88 | Professional | TC · Technical part | $114.82 | $114.82 | $154.88 |
Midlands Setting Professional Modifier None (both parts) Typical Low $134.90 Median $194.98 Typical High $257.04 | Professional | None (both parts) | $134.90 | $194.98 | $257.04 |
United Setting Facility Modifier None Typical Low $467.74 Median $501.19 Typical High $630.96 | Facility | None | $467.74 | $501.19 | $630.96 |
United Setting Professional Modifier None (both parts) Typical Low $154.88 Median $208.93 Typical High $281.84 | Professional | None (both parts) | $154.88 | $208.93 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $77.62 Typical High $114.82 | Professional | 26 · Professional part | $61.66 | $77.62 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $131.83 Typical High $165.96 | Professional | TC · Technical part | $91.20 | $131.83 | $165.96 |
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 $43.65 Median $43.65 Typical High $46.77 | Professional | 52 · Reduced service | $43.65 | $43.65 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $17.78 Typical High $18.62 | Professional | 53 · Discontinued | $17.78 | $17.78 | $18.62 |
Where Nebraska sits
The same service costs 5.4 times more in Hawaii 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· 6th of 51
$195
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.