How much rates vary
Facilitymedian $692 · 10th to 90th $269 to $1,349Professionalmedian $135 · 10th to 90th $62 to $363
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 $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $61.66 Typical High $79.43 | Professional | None (both parts) | $61.66 | $61.66 | $79.43 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $17.38 Typical High $19.95 | Professional | 26 · Professional part | $17.38 | $17.38 | $19.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $43.65 Typical High $58.88 | Professional | TC · Technical part | $43.65 | $43.65 | $58.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $43.65 | $43.65 | $43.65 |
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 $14.79 Median $26.30 Typical High $34.67 | Professional | 26 · Professional part | $14.79 | $26.30 | $34.67 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $67.61 Typical High $87.10 | Professional | TC · Technical part | $38.02 | $67.61 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $134.90 Typical High $158.49 | Professional | None (both parts) | $131.83 | $134.90 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $38.02 Typical High $44.67 | Professional | 26 · Professional part | $37.15 | $38.02 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $97.72 Typical High $114.82 | Professional | TC · Technical part | $93.33 | $97.72 | $114.82 |
Medica Setting Facility Modifier None Typical Low $66.07 Median $346.74 Typical High $512.86 | Facility | None | $66.07 | $346.74 | $512.86 |
Medica Setting Professional Modifier None (both parts) Typical Low $100.00 Median $154.88 Typical High $812.83 | Professional | None (both parts) | $100.00 | $154.88 | $812.83 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $43.65 Typical High $416.87 | Professional | 26 · Professional part | $29.51 | $43.65 | $416.87 |
Medica Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $117.49 Typical High $562.34 | Professional | TC · Technical part | $72.44 | $117.49 | $562.34 |
Midlands Setting Professional Modifier None Typical Low $131.83 Median $134.90 Typical High $169.82 | Professional | None | $131.83 | $134.90 | $169.82 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $38.02 Typical High $46.77 | Professional | 26 · Professional part | $37.15 | $38.02 | $46.77 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $97.72 Typical High $123.03 | Professional | TC · Technical part | $93.33 | $97.72 | $123.03 |
Midlands Setting Professional Modifier None (both parts) Typical Low $134.90 Median $169.82 Typical High $173.78 | Professional | None (both parts) | $134.90 | $169.82 | $173.78 |
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 $100.00 Median $141.25 Typical High $363.08 | Professional | None (both parts) | $100.00 | $141.25 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $36.31 Typical High $53.70 | Professional | 26 · Professional part | $29.51 | $36.31 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $100.00 Typical High $309.03 | Professional | TC · Technical part | $72.44 | $100.00 | $309.03 |
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 $30.20 Median $30.20 Typical High $31.62 | Professional | 52 · Reduced service | $30.20 | $30.20 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.30 Typical High $12.88 | Professional | 53 · Discontinued | $12.30 | $12.30 | $12.88 |
Where Nebraska sits
The same service costs 3.2 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
$138
AK $162TX $51.29
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.