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 $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $95.50 | Professional | None (both parts) | $81.28 | $81.28 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $48.98 | Professional | 26 · Professional part | $41.69 | $41.69 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $38.90 Typical High $46.77 | Professional | TC · Technical part | $38.90 | $38.90 | $46.77 |
BCBS Nebraska Setting Facility Modifier None Typical Low $302.00 Median $870.96 Typical High $1,819.70 | Facility | None | $302.00 | $870.96 | $1,819.70 |
BCBS Nebraska Setting Professional Modifier None (both parts) Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None (both parts) | $48.98 | $48.98 | $48.98 |
BCBS Nebraska Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $63.10 Typical High $83.18 | Professional | 26 · Professional part | $35.48 | $63.10 | $83.18 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $60.26 Typical High $77.62 | Professional | TC · Technical part | $34.67 | $60.26 | $77.62 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $177.83 Typical High $208.93 | Professional | None (both parts) | $162.18 | $177.83 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $91.20 Typical High $109.65 | Professional | 26 · Professional part | $89.13 | $91.20 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $87.10 Typical High $102.33 | Professional | TC · Technical part | $70.79 | $87.10 | $102.33 |
Medica Setting Facility Modifier None Typical Low $91.20 Median $194.98 Typical High $389.05 | Facility | None | $91.20 | $194.98 | $389.05 |
Medica Setting Professional Modifier None (both parts) Typical Low $128.82 Median $190.55 Typical High $562.34 | Professional | None (both parts) | $128.82 | $190.55 | $562.34 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $107.15 Typical High $316.23 | Professional | 26 · Professional part | $70.79 | $107.15 | $316.23 |
Medica Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $91.20 Typical High $316.23 | Professional | TC · Technical part | $58.88 | $91.20 | $316.23 |
Midlands Setting Professional Modifier None Typical Low $162.18 Median $177.83 Typical High $229.09 | Professional | None | $162.18 | $177.83 | $229.09 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $89.13 Typical High $114.82 | Professional | 26 · Professional part | $89.13 | $89.13 | $114.82 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $87.10 Typical High $114.82 | Professional | TC · Technical part | $70.79 | $87.10 | $114.82 |
Midlands Setting Professional Modifier None (both parts) Typical Low $177.83 Median $213.80 Typical High $229.09 | Professional | None (both parts) | $177.83 | $213.80 | $229.09 |
United Setting Facility Modifier None Typical Low $158.49 Median $169.82 Typical High $218.78 | Facility | None | $158.49 | $169.82 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $169.82 Typical High $251.19 | Professional | None (both parts) | $131.83 | $169.82 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $89.13 Typical High $131.83 | Professional | 26 · Professional part | $70.79 | $89.13 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $83.18 Typical High $117.49 | Professional | TC · Technical part | $58.88 | $83.18 | $117.49 |
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 $40.74 Median $40.74 Typical High $41.69 | Professional | 52 · Reduced service | $40.74 | $40.74 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $16.22 Typical High $16.98 | Professional | 53 · Discontinued | $16.22 | $16.22 | $16.98 |
Where Nebraska sits
The same service costs 3.2 times more in Alaska than in Alabama. 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
$174
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.