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 $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $165.96 | Professional | None (both parts) | $138.04 | $138.04 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $93.33 | Professional | 26 · Professional part | $81.28 | $81.28 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $70.79 | Professional | TC · Technical part | $57.54 | $57.54 | $70.79 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | 26 · Professional part | $208.93 | $208.93 | $208.93 |
BCBS Nebraska Setting Facility Modifier None Typical Low $316.23 Median $870.96 Typical High $1,819.70 | Facility | None | $316.23 | $870.96 | $1,819.70 |
BCBS Nebraska Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $123.03 Typical High $162.18 | Professional | 26 · Professional part | $69.18 | $123.03 | $162.18 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $87.10 Typical High $114.82 | Professional | TC · Technical part | $51.29 | $87.10 | $114.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $302.00 Typical High $363.08 | Professional | None (both parts) | $288.40 | $302.00 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $173.78 Typical High $208.93 | Professional | 26 · Professional part | $169.82 | $173.78 | $208.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $125.89 Typical High $147.91 | Professional | TC · Technical part | $112.20 | $125.89 | $147.91 |
Medica Setting Facility Modifier None Typical Low $269.15 Median $398.11 Typical High $660.69 | Facility | None | $269.15 | $398.11 | $660.69 |
Medica Setting Professional Modifier None (both parts) Typical Low $229.09 Median $346.74 Typical High $954.99 | Professional | None (both parts) | $229.09 | $346.74 | $954.99 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $204.17 Typical High $537.03 | Professional | 26 · Professional part | $138.04 | $204.17 | $537.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $141.25 Typical High $416.87 | Professional | TC · Technical part | $91.20 | $141.25 | $416.87 |
Midlands Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $389.05 | Professional | None | $288.40 | $288.40 | $389.05 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $173.78 Typical High $223.87 | Professional | 26 · Professional part | $173.78 | $173.78 | $223.87 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $112.20 Typical High $165.96 | Professional | TC · Technical part | $112.20 | $112.20 | $165.96 |
Midlands Setting Professional Modifier None (both parts) Typical Low $302.00 Median $380.19 Typical High $389.05 | Professional | None (both parts) | $302.00 | $380.19 | $389.05 |
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 $229.09 Median $295.12 Typical High $407.38 | Professional | None (both parts) | $229.09 | $295.12 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $173.78 Typical High $251.19 | Professional | 26 · Professional part | $138.04 | $173.78 | $251.19 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $123.03 Typical High $151.36 | Professional | TC · Technical part | $91.20 | $123.03 | $151.36 |
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 $69.18 Median $69.18 Typical High $72.44 | Professional | 52 · Reduced service | $69.18 | $69.18 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $28.84 | Professional | 53 · Discontinued | $27.54 | $27.54 | $28.84 |
Where Nebraska sits
The same service costs 3.6 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
$295
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.