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 $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $512.86 Median $512.86 Typical High $537.03 | Professional | None (both parts) | $512.86 | $512.86 | $537.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $109.65 Typical High $120.23 | Professional | 26 · Professional part | $109.65 | $109.65 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $398.11 Typical High $416.87 | Professional | TC · Technical part | $398.11 | $398.11 | $416.87 |
BCBS Nebraska Setting Facility Modifier None Typical Low $660.69 Median $954.99 Typical High $1,862.09 | Facility | None | $660.69 | $954.99 | $1,862.09 |
BCBS Nebraska Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $169.82 Typical High $218.78 | Professional | 26 · Professional part | $93.33 | $169.82 | $218.78 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $602.56 Typical High $794.33 | Professional | TC · Technical part | $346.74 | $602.56 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Facility | None | $2,089.30 | $2,089.30 | $2,089.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $977.24 Median $1,122.02 Typical High $1,318.26 | Professional | None (both parts) | $977.24 | $1,122.02 | $1,318.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $239.88 Typical High $288.40 | Professional | 26 · Professional part | $234.42 | $239.88 | $288.40 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $870.96 Typical High $1,047.13 | Professional | TC · Technical part | $741.31 | $870.96 | $1,047.13 |
Medica Setting Facility Modifier None Typical Low $691.83 Median $1,258.93 Typical High $2,511.89 | Facility | None | $691.83 | $1,258.93 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $794.33 Median $1,174.90 Typical High $3,548.13 | Professional | None (both parts) | $794.33 | $1,174.90 | $3,548.13 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $281.84 Typical High $741.31 | Professional | 26 · Professional part | $186.21 | $281.84 | $741.31 |
Medica Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $912.01 Typical High $2,754.23 | Professional | TC · Technical part | $602.56 | $912.01 | $2,754.23 |
Midlands Setting Professional Modifier None Typical Low $977.24 Median $1,096.48 Typical High $1,479.11 | Professional | None | $977.24 | $1,096.48 | $1,479.11 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $239.88 Typical High $302.00 | Professional | 26 · Professional part | $234.42 | $239.88 | $302.00 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $812.83 Typical High $1,174.90 | Professional | TC · Technical part | $741.31 | $812.83 | $1,174.90 |
Midlands Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,288.25 Typical High $1,479.11 | Professional | None (both parts) | $1,122.02 | $1,288.25 | $1,479.11 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $1,148.15 Typical High $1,445.44 | Facility | None | $1,071.52 | $1,148.15 | $1,445.44 |
United Setting Professional Modifier None (both parts) Typical Low $794.33 Median $1,071.52 Typical High $1,348.96 | Professional | None (both parts) | $794.33 | $1,071.52 | $1,348.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $234.42 Typical High $346.74 | Professional | 26 · Professional part | $186.21 | $234.42 | $346.74 |
United Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $831.76 Typical High $1,000.00 | Professional | TC · Technical part | $602.56 | $831.76 | $1,000.00 |
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 $257.04 Median $257.04 Typical High $263.03 | Professional | 52 · Reduced service | $257.04 | $257.04 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $102.33 Typical High $107.15 | Professional | 53 · Discontinued | $102.33 | $102.33 | $107.15 |
Where Nebraska sits
The same service costs 3.1 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· 5th of 51
$1,023
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.