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 $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $380.19 | Professional | None (both parts) | $144.54 | $144.54 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $199.53 | Professional | 26 · Professional part | $75.86 | $75.86 | $199.53 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $181.97 | Professional | TC · Technical part | $69.18 | $69.18 | $181.97 |
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 $64.57 Median $114.82 Typical High $151.36 | Professional | 26 · Professional part | $64.57 | $114.82 | $151.36 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $104.71 Typical High $141.25 | Professional | TC · Technical part | $61.66 | $104.71 | $141.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $331.13 Typical High $380.19 | Professional | None (both parts) | $316.23 | $331.13 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $165.96 Typical High $194.98 | Professional | 26 · Professional part | $162.18 | $165.96 | $194.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $169.82 Typical High $177.83 | Professional | TC · Technical part | $151.36 | $169.82 | $177.83 |
Medica Setting Facility Modifier None Typical Low $162.18 Median $288.40 Typical High $691.83 | Facility | None | $162.18 | $288.40 | $691.83 |
Medica Setting Professional Modifier None (both parts) Typical Low $251.19 Median $363.08 Typical High $1,047.13 | Professional | None (both parts) | $251.19 | $363.08 | $1,047.13 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $190.55 Typical High $512.86 | Professional | 26 · Professional part | $128.82 | $190.55 | $512.86 |
Medica Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $190.55 Typical High $549.54 | Professional | TC · Technical part | $131.83 | $190.55 | $549.54 |
Midlands Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $407.38 | Professional | None | $331.13 | $331.13 | $407.38 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $162.18 Typical High $208.93 | Professional | 26 · Professional part | $162.18 | $162.18 | $208.93 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $169.82 Typical High $199.53 | Professional | TC · Technical part | $162.18 | $169.82 | $199.53 |
Midlands Setting Professional Modifier None (both parts) Typical Low $316.23 Median $407.38 Typical High $436.52 | Professional | None (both parts) | $316.23 | $407.38 | $436.52 |
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 $263.03 Median $316.23 Typical High $467.74 | Professional | None (both parts) | $263.03 | $316.23 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $162.18 Typical High $239.88 | Professional | 26 · Professional part | $128.82 | $162.18 | $239.88 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $165.96 Typical High $229.09 | Professional | TC · Technical part | $131.83 | $165.96 | $229.09 |
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 $72.44 Median $72.44 Typical High $75.86 | Professional | 52 · Reduced service | $72.44 | $72.44 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $30.20 | Professional | 53 · Discontinued | $28.84 | $28.84 | $30.20 |
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
$331
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.