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 $229.09 Median $489.78 Typical High $501.19 | Facility | None | $229.09 | $489.78 | $501.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $288.40 Typical High $602.56 | Professional | None (both parts) | $229.09 | $288.40 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $169.82 Typical High $389.05 | Professional | 26 · Professional part | $147.91 | $169.82 | $389.05 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $104.71 Typical High $208.93 | Professional | TC · Technical part | $79.43 | $104.71 | $208.93 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $602.56 | Professional | None (both parts) | $223.87 | $223.87 | $602.56 |
BCBS Nebraska Setting Facility Modifier None Typical Low $660.69 Median $891.25 Typical High $1,819.70 | Facility | None | $660.69 | $891.25 | $1,819.70 |
BCBS Nebraska Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $223.87 Typical High $295.12 | Professional | 26 · Professional part | $123.03 | $223.87 | $295.12 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $123.03 Typical High $162.18 | Professional | TC · Technical part | $72.44 | $123.03 | $162.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $501.19 Median $512.86 Typical High $588.84 | Professional | None (both parts) | $501.19 | $512.86 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $323.59 Typical High $380.19 | Professional | 26 · Professional part | $316.23 | $323.59 | $380.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $190.55 Typical High $223.87 | Professional | TC · Technical part | $173.78 | $190.55 | $223.87 |
Medica Setting Facility Modifier None Typical Low $446.68 Median $891.25 Typical High $1,174.90 | Facility | None | $446.68 | $891.25 | $1,174.90 |
Medica Setting Professional Modifier None (both parts) Typical Low $398.11 Median $588.84 Typical High $1,584.89 | Professional | None (both parts) | $398.11 | $588.84 | $1,584.89 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $371.54 Typical High $977.24 | Professional | 26 · Professional part | $251.19 | $371.54 | $977.24 |
Medica Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $213.80 Typical High $616.60 | Professional | TC · Technical part | $151.36 | $213.80 | $616.60 |
Midlands Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $645.65 | Professional | None | $512.86 | $512.86 | $645.65 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $316.23 Typical High $407.38 | Professional | 26 · Professional part | $316.23 | $316.23 | $407.38 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $239.88 | Professional | TC · Technical part | $190.55 | $190.55 | $239.88 |
Midlands Setting Professional Modifier None (both parts) Typical Low $501.19 Median $645.65 Typical High $676.08 | Professional | None (both parts) | $501.19 | $645.65 | $676.08 |
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 $398.11 Median $501.19 Typical High $741.31 | Professional | None (both parts) | $398.11 | $501.19 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $309.03 Typical High $457.09 | Professional | 26 · Professional part | $251.19 | $309.03 | $457.09 |
United Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $190.55 Typical High $275.42 | Professional | TC · Technical part | $151.36 | $190.55 | $275.42 |
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 $114.82 Median $114.82 Typical High $117.49 | Professional | 52 · Reduced service | $114.82 | $114.82 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $47.86 | Professional | 53 · Discontinued | $45.71 | $45.71 | $47.86 |
Where Nebraska sits
The same service costs 3.3 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
$513
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.