How much rates vary
Facilitymedian $603 · 10th to 90th $269 to $1,148Professionalmedian $288 · 10th to 90th $123 to $380
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 $123.03 Median $269.15 Typical High $275.42 | Facility | None | $123.03 | $269.15 | $275.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $158.49 Typical High $323.59 | Professional | None (both parts) | $123.03 | $158.49 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $85.11 Typical High $194.98 | Professional | 26 · Professional part | $74.13 | $85.11 | $194.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $64.57 Typical High $131.83 | Professional | TC · Technical part | $50.12 | $64.57 | $131.83 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $123.03 Median $269.15 Typical High $331.13 | Professional | None (both parts) | $123.03 | $269.15 | $331.13 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $89.13 Typical High $190.55 | Professional | 26 · Professional part | $89.13 | $89.13 | $190.55 |
BCBS Nebraska Setting Facility Modifier None Typical Low $575.44 Median $870.96 Typical High $1,819.70 | Facility | None | $575.44 | $870.96 | $1,819.70 |
BCBS Nebraska Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $112.20 Typical High $147.91 | Professional | 26 · Professional part | $63.10 | $112.20 | $147.91 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $75.86 Typical High $100.00 | Professional | TC · Technical part | $43.65 | $75.86 | $100.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $288.40 Typical High $323.59 | Professional | None (both parts) | $269.15 | $288.40 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $162.18 Typical High $194.98 | Professional | 26 · Professional part | $158.49 | $162.18 | $194.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $125.89 Typical High $131.83 | Professional | TC · Technical part | $109.65 | $125.89 | $131.83 |
Medica Setting Facility Modifier None Typical Low $239.88 Median $512.86 Typical High $870.96 | Facility | None | $239.88 | $512.86 | $870.96 |
Medica Setting Professional Modifier None (both parts) Typical Low $223.87 Median $302.00 Typical High $870.96 | Professional | None (both parts) | $223.87 | $302.00 | $870.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $177.83 Typical High $501.19 | Professional | 26 · Professional part | $125.89 | $177.83 | $501.19 |
Medica Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $134.90 Typical High $380.19 | Professional | TC · Technical part | $95.50 | $134.90 | $380.19 |
Midlands Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $363.08 | Professional | None | $288.40 | $288.40 | $363.08 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $162.18 Typical High $204.17 | Professional | 26 · Professional part | $158.49 | $162.18 | $204.17 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $125.89 Typical High $151.36 | Professional | TC · Technical part | $123.03 | $125.89 | $151.36 |
Midlands Setting Professional Modifier None (both parts) Typical Low $269.15 Median $354.81 Typical High $380.19 | Professional | None (both parts) | $269.15 | $354.81 | $380.19 |
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 $223.87 Median $275.42 Typical High $389.05 | Professional | None (both parts) | $223.87 | $275.42 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $158.49 Typical High $229.09 | Professional | 26 · Professional part | $125.89 | $158.49 | $229.09 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $120.23 Typical High $162.18 | Professional | TC · Technical part | $95.50 | $120.23 | $162.18 |
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 $61.66 Median $61.66 Typical High $64.57 | Professional | 52 · Reduced service | $61.66 | $61.66 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.12 Typical High $25.70 | Professional | 53 · Discontinued | $25.12 | $25.12 | $25.70 |
Where Nebraska sits
The same service costs 4.0 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· 2nd of 51
$288
AK $339TX $85.11
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.