How much rates vary
Facilitymedian $141 · 10th to 90th $44 to $275Professionalmedian $33 · 10th to 90th $19 to $115
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 $10.23 Median $10.23 Typical High $10.23 | Facility | None | $10.23 | $10.23 | $10.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | None (both parts) | $10.23 | $10.23 | $10.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $3.98 Median $3.98 Typical High $3.98 | Professional | 26 · Professional part | $3.98 | $3.98 | $3.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | TC · Technical part | $6.31 | $6.31 | $6.31 |
BCBS Nebraska Setting Facility Modifier None Typical Low $70.79 Median $173.78 Typical High $363.08 | Facility | None | $70.79 | $173.78 | $363.08 |
BCBS Nebraska Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $11.48 Typical High $12.30 | Professional | 26 · Professional part | $10.96 | $11.48 | $12.30 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $13.18 Median $17.38 Typical High $19.50 | Professional | TC · Technical part | $13.18 | $17.38 | $19.50 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $30.90 Typical High $48.98 | Professional | None (both parts) | $26.30 | $30.90 | $48.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $14.13 Typical High $19.95 | Professional | 26 · Professional part | $10.00 | $14.13 | $19.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $16.98 Typical High $30.20 | Professional | TC · Technical part | $15.49 | $16.98 | $30.20 |
Medica Setting Facility Modifier None Typical Low $30.90 Median $48.98 Typical High $169.82 | Facility | None | $30.90 | $48.98 | $169.82 |
Medica Setting Professional Modifier None (both parts) Typical Low $28.84 Median $42.66 Typical High $114.82 | Professional | None (both parts) | $28.84 | $42.66 | $114.82 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $20.42 Typical High $114.82 | Professional | 26 · Professional part | $13.49 | $20.42 | $114.82 |
Medica Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $22.91 Typical High $70.79 | Professional | TC · Technical part | $16.22 | $22.91 | $70.79 |
Midlands Setting Professional Modifier None Typical Low $23.44 Median $30.90 Typical High $48.98 | Professional | None | $23.44 | $30.90 | $48.98 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $14.13 Typical High $21.88 | Professional | 26 · Professional part | $10.23 | $14.13 | $21.88 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $16.98 Typical High $26.92 | Professional | TC · Technical part | $13.49 | $16.98 | $26.92 |
Midlands Setting Professional Modifier None (both parts) Typical Low $23.44 Median $45.71 Typical High $47.86 | Professional | None (both parts) | $23.44 | $45.71 | $47.86 |
United Setting Facility Modifier None Typical Low $46.77 Median $50.12 Typical High $63.10 | Facility | None | $46.77 | $50.12 | $63.10 |
United Setting Professional Modifier None (both parts) Typical Low $28.84 Median $39.81 Typical High $45.71 | Professional | None (both parts) | $28.84 | $39.81 | $45.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $19.05 Typical High $21.38 | Professional | 26 · Professional part | $13.49 | $19.05 | $21.38 |
United Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $20.89 Typical High $24.55 | Professional | TC · Technical part | $15.49 | $20.89 | $24.55 |
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 $5.13 Median $5.13 Typical High $5.13 | Professional | 52 · Reduced service | $5.13 | $5.13 | $5.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.04 Typical High $2.04 | Professional | 53 · Discontinued | $2.04 | $2.04 | $2.04 |
Where Nebraska sits
The same service costs 2.3 times more in Wisconsin than in North Carolina. 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
$33.88
WI $39.81NC $17.38
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.