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 $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $169.82 | Professional | None (both parts) | $162.18 | $162.18 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $26.92 | Professional | 26 · Professional part | $25.70 | $25.70 | $26.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $144.54 | Professional | TC · Technical part | $134.90 | $134.90 | $144.54 |
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 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 $120.23 Median $208.93 Typical High $275.42 | Professional | TC · Technical part | $120.23 | $208.93 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $331.13 Typical High $426.58 | Professional | None (both parts) | $251.19 | $331.13 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $56.23 Typical High $66.07 | Professional | 26 · Professional part | $53.70 | $56.23 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $263.03 Typical High $354.81 | Professional | TC · Technical part | $194.98 | $263.03 | $354.81 |
Medica Setting Facility Modifier None Typical Low $107.15 Median $389.05 Typical High $794.33 | Facility | None | $107.15 | $389.05 | $794.33 |
Medica Setting Professional Modifier None (both parts) Typical Low $199.53 Median $302.00 Typical High $954.99 | Professional | None (both parts) | $199.53 | $302.00 | $954.99 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $64.57 Typical High $602.56 | Professional | 26 · Professional part | $42.66 | $64.57 | $602.56 |
Medica Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $239.88 Typical High $794.33 | Professional | TC · Technical part | $154.88 | $239.88 | $794.33 |
Midlands Setting Professional Modifier None Typical Low $251.19 Median $316.23 Typical High $426.58 | Professional | None | $251.19 | $316.23 | $426.58 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $54.95 Typical High $69.18 | Professional | 26 · Professional part | $53.70 | $54.95 | $69.18 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $251.19 Typical High $354.81 | Professional | TC · Technical part | $194.98 | $251.19 | $354.81 |
Midlands Setting Professional Modifier None (both parts) Typical Low $323.59 Median $354.81 Typical High $426.58 | Professional | None (both parts) | $323.59 | $354.81 | $426.58 |
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 $199.53 Median $309.03 Typical High $446.68 | Professional | None (both parts) | $199.53 | $309.03 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $53.70 Typical High $79.43 | Professional | 26 · Professional part | $42.66 | $53.70 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $251.19 Typical High $363.08 | Professional | TC · Technical part | $154.88 | $251.19 | $363.08 |
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 $81.28 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $81.28 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $32.36 | $32.36 | $32.36 |
Where Nebraska sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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· 6th of 51
$309
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.