How much rates vary
Facilitymedian $661 · 10th to 90th $166 to $1,349Professionalmedian $174 · 10th to 90th $93 to $263
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 $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $204.17 | Professional | None (both parts) | $93.33 | $93.33 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $69.18 | Professional | 26 · Professional part | $32.36 | $32.36 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $61.66 Typical High $134.90 | Professional | TC · Technical part | $61.66 | $61.66 | $134.90 |
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 $26.92 Median $48.98 Typical High $64.57 | Professional | 26 · Professional part | $26.92 | $48.98 | $64.57 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $93.33 Typical High $123.03 | Professional | TC · Technical part | $54.95 | $93.33 | $123.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $204.17 Typical High $245.47 | Professional | None (both parts) | $165.96 | $204.17 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $69.18 Typical High $83.18 | Professional | 26 · Professional part | $67.61 | $69.18 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $131.83 Typical High $162.18 | Professional | TC · Technical part | $100.00 | $131.83 | $162.18 |
Medica Setting Facility Modifier None Typical Low $162.18 Median $229.09 Typical High $457.09 | Facility | None | $162.18 | $229.09 | $457.09 |
Medica Setting Professional Modifier None (both parts) Typical Low $134.90 Median $199.53 Typical High $691.83 | Professional | None (both parts) | $134.90 | $199.53 | $691.83 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $81.28 Typical High $223.87 | Professional | 26 · Professional part | $53.70 | $81.28 | $223.87 |
Medica Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $120.23 Typical High $467.74 | Professional | TC · Technical part | $87.10 | $120.23 | $467.74 |
Midlands Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $263.03 | Professional | None | $165.96 | $165.96 | $263.03 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $69.18 Typical High $87.10 | Professional | 26 · Professional part | $67.61 | $69.18 | $87.10 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $100.00 Typical High $177.83 | Professional | TC · Technical part | $100.00 | $100.00 | $177.83 |
Midlands Setting Professional Modifier None (both parts) Typical Low $204.17 Median $223.87 Typical High $263.03 | Professional | None (both parts) | $204.17 | $223.87 | $263.03 |
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 $141.25 Median $199.53 Typical High $234.42 | Professional | None (both parts) | $141.25 | $199.53 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $67.61 Typical High $100.00 | Professional | 26 · Professional part | $53.70 | $67.61 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $123.03 Typical High $158.49 | Professional | TC · Technical part | $87.10 | $123.03 | $158.49 |
3 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 $46.77 Median $46.77 Typical High $48.98 | Professional | 52 · Reduced service | $46.77 | $46.77 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $19.50 | Professional | 53 · Discontinued | $18.62 | $18.62 | $19.50 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | 59 · Distinct service | $169.82 | $169.82 | $169.82 |
Where Nebraska sits
The same service costs 3.5 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· 3rd of 51
$200
AK $229KY $64.57
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.