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 $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $158.49 | Professional | None (both parts) | $141.25 | $141.25 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $28.18 | Professional | 26 · Professional part | $25.70 | $25.70 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $114.82 Typical High $131.83 | Professional | TC · Technical part | $114.82 | $114.82 | $131.83 |
BCBS Nebraska Setting Facility Modifier None Typical Low $549.54 Median $870.96 Typical High $1,819.70 | Facility | None | $549.54 | $870.96 | $1,819.70 |
BCBS Nebraska Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $38.90 Typical High $51.29 | Professional | 26 · Professional part | $21.88 | $38.90 | $51.29 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $186.21 Typical High $263.03 | Professional | TC · Technical part | $114.82 | $186.21 | $263.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $309.03 Typical High $371.54 | Professional | None (both parts) | $251.19 | $309.03 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $56.23 Typical High $67.61 | Professional | 26 · Professional part | $54.95 | $56.23 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $245.47 Typical High $302.00 | Professional | TC · Technical part | $194.98 | $245.47 | $302.00 |
Medica Setting Facility Modifier None Typical Low $107.15 Median $389.05 Typical High $776.25 | Facility | None | $107.15 | $389.05 | $776.25 |
Medica Setting Professional Modifier None (both parts) Typical Low $208.93 Median $316.23 Typical High $1,174.90 | Professional | None (both parts) | $208.93 | $316.23 | $1,174.90 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $66.07 Typical High $602.56 | Professional | 26 · Professional part | $43.65 | $66.07 | $602.56 |
Medica Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $251.19 Typical High $1,000.00 | Professional | TC · Technical part | $165.96 | $251.19 | $1,000.00 |
Midlands Setting Professional Modifier None Typical Low $251.19 Median $302.00 Typical High $380.19 | Professional | None | $251.19 | $302.00 | $380.19 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $70.79 | Professional | 26 · Professional part | $54.95 | $54.95 | $70.79 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $245.47 Typical High $309.03 | Professional | TC · Technical part | $194.98 | $245.47 | $309.03 |
Midlands Setting Professional Modifier None (both parts) Typical Low $309.03 Median $338.84 Typical High $380.19 | Professional | None (both parts) | $309.03 | $338.84 | $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 $208.93 Median $323.59 Typical High $478.63 | Professional | None (both parts) | $208.93 | $323.59 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $54.95 Typical High $81.28 | Professional | 26 · Professional part | $43.65 | $54.95 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $269.15 Typical High $398.11 | Professional | TC · Technical part | $165.96 | $269.15 | $398.11 |
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 $70.79 Median $70.79 Typical High $74.13 | Professional | 52 · Reduced service | $70.79 | $70.79 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $29.51 | Professional | 53 · Discontinued | $28.18 | $28.18 | $29.51 |
Where Nebraska sits
The same service costs 2.9 times more in Alaska than in New Mexico. 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
$302
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.