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 $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $269.15 | Professional | None (both parts) | $102.33 | $102.33 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $125.89 | Professional | 26 · Professional part | $47.86 | $47.86 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $54.95 Typical High $144.54 | Professional | TC · Technical part | $54.95 | $54.95 | $144.54 |
BCBS Nebraska Setting Facility Modifier None Typical Low $234.42 Median $870.96 Typical High $1,819.70 | Facility | None | $234.42 | $870.96 | $1,819.70 |
BCBS Nebraska Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $72.44 Typical High $95.50 | Professional | 26 · Professional part | $39.81 | $72.44 | $95.50 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $85.11 Typical High $109.65 | Professional | TC · Technical part | $48.98 | $85.11 | $109.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $234.42 Typical High $269.15 | Professional | None (both parts) | $223.87 | $234.42 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $102.33 Typical High $123.03 | Professional | 26 · Professional part | $102.33 | $102.33 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $128.82 Typical High $144.54 | Professional | TC · Technical part | $120.23 | $128.82 | $144.54 |
Medica Setting Facility Modifier None Typical Low $109.65 Median $199.53 Typical High $501.19 | Facility | None | $109.65 | $199.53 | $501.19 |
Medica Setting Professional Modifier None (both parts) Typical Low $173.78 Median $257.04 Typical High $794.33 | Professional | None (both parts) | $173.78 | $257.04 | $794.33 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $120.23 Typical High $371.54 | Professional | 26 · Professional part | $81.28 | $120.23 | $371.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $144.54 Typical High $478.63 | Professional | TC · Technical part | $100.00 | $144.54 | $478.63 |
Midlands Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $302.00 | Professional | None | $234.42 | $234.42 | $302.00 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $102.33 Typical High $131.83 | Professional | 26 · Professional part | $102.33 | $102.33 | $131.83 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $128.82 Typical High $169.82 | Professional | TC · Technical part | $128.82 | $128.82 | $169.82 |
Midlands Setting Professional Modifier None (both parts) Typical Low $223.87 Median $302.00 Typical High $309.03 | Professional | None (both parts) | $223.87 | $302.00 | $309.03 |
United Setting Facility Modifier None Typical Low $165.96 Median $177.83 Typical High $223.87 | Facility | None | $165.96 | $177.83 | $223.87 |
United Setting Professional Modifier None (both parts) Typical Low $181.97 Median $218.78 Typical High $338.84 | Professional | None (both parts) | $181.97 | $218.78 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $102.33 Typical High $147.91 | Professional | 26 · Professional part | $81.28 | $102.33 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $125.89 Typical High $186.21 | Professional | TC · Technical part | $100.00 | $125.89 | $186.21 |
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 $51.29 Median $51.29 Typical High $53.70 | Professional | 52 · Reduced service | $51.29 | $51.29 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.42 Typical High $21.38 | Professional | 53 · Discontinued | $20.42 | $20.42 | $21.38 |
Where Nebraska sits
The same service costs 3.9 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· 3rd of 51
$234
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.