How much rates vary
Facilitymedian $661 · 10th to 90th $148 to $1,349Professionalmedian $166 · 10th to 90th $91 to $234
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 $75.86 Median $165.96 Typical High $169.82 | Facility | None | $75.86 | $165.96 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $91.20 Typical High $199.53 | Professional | None (both parts) | $75.86 | $91.20 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $40.74 Typical High $91.20 | Professional | 26 · Professional part | $34.67 | $40.74 | $91.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $51.29 Typical High $109.65 | Professional | TC · Technical part | $41.69 | $51.29 | $109.65 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None (both parts) | $165.96 | $165.96 | $165.96 |
BCBS Nebraska Setting Facility Modifier None Typical Low $154.88 Median $870.96 Typical High $1,819.70 | Facility | None | $154.88 | $870.96 | $1,819.70 |
BCBS Nebraska Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $52.48 Typical High $69.18 | Professional | 26 · Professional part | $28.84 | $52.48 | $69.18 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $63.10 Typical High $83.18 | Professional | TC · Technical part | $36.31 | $63.10 | $83.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $165.96 Typical High $199.53 | Professional | None (both parts) | $158.49 | $165.96 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $75.86 Typical High $91.20 | Professional | 26 · Professional part | $72.44 | $75.86 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $91.20 Typical High $107.15 | Professional | TC · Technical part | $83.18 | $91.20 | $107.15 |
Medica Setting Facility Modifier None Typical Low $120.23 Median $169.82 Typical High $371.54 | Facility | None | $120.23 | $169.82 | $371.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $128.82 Median $181.97 Typical High $549.54 | Professional | None (both parts) | $128.82 | $181.97 | $549.54 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $87.10 Typical High $234.42 | Professional | 26 · Professional part | $58.88 | $87.10 | $234.42 |
Medica Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $107.15 Typical High $316.23 | Professional | TC · Technical part | $69.18 | $107.15 | $316.23 |
Midlands Setting Professional Modifier None Typical Low $158.49 Median $165.96 Typical High $218.78 | Professional | None | $158.49 | $165.96 | $218.78 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $95.50 | Professional | 26 · Professional part | $74.13 | $74.13 | $95.50 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $91.20 Typical High $125.89 | Professional | TC · Technical part | $83.18 | $91.20 | $125.89 |
Midlands Setting Professional Modifier None (both parts) Typical Low $165.96 Median $208.93 Typical High $218.78 | Professional | None (both parts) | $165.96 | $208.93 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $162.18 Typical High $239.88 | Professional | None (both parts) | $128.82 | $162.18 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $74.13 Typical High $109.65 | Professional | 26 · Professional part | $58.88 | $74.13 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $89.13 Typical High $128.82 | Professional | TC · Technical part | $69.18 | $89.13 | $128.82 |
3 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 $38.02 Median $38.02 Typical High $39.81 | Professional | 52 · Reduced service | $38.02 | $38.02 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.14 Typical High $15.85 | Professional | 53 · Discontinued | $15.14 | $15.14 | $15.85 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $77.62 Median $77.62 Typical High $204.17 | Professional | 59 · Distinct service | $77.62 | $77.62 | $204.17 |
Where Nebraska sits
The same service costs 3.0 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· 4th of 51
$166
AK $204TX $67.61
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.