How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None (both parts) | $48.98 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | 26 · Professional part | $23.99 | $23.99 | $23.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | TC · Technical part | $25.12 | $25.12 | $25.12 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $31.62 Median $53.70 Typical High $79.43 | Professional | None (both parts) | $31.62 | $53.70 | $79.43 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $27.54 Typical High $41.69 | Professional | 26 · Professional part | $22.39 | $27.54 | $41.69 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $28.84 Typical High $33.88 | Professional | TC · Technical part | $23.44 | $28.84 | $33.88 |
Select Health Setting Facility Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Facility | None | $4,265.80 | $4,265.80 | $4,265.80 |
United Setting Professional Modifier None (both parts) Typical Low $39.81 Median $50.12 Typical High $79.43 | Professional | None (both parts) | $39.81 | $50.12 | $79.43 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $23.44 Typical High $38.90 | Professional | 26 · Professional part | $19.50 | $23.44 | $38.90 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $25.70 Typical High $41.69 | Professional | TC · Technical part | $19.95 | $25.70 | $41.69 |
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 $24.55 Median $24.55 Typical High $24.55 | Professional | 52 · Reduced service | $24.55 | $24.55 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | 53 · Discontinued | $9.77 | $9.77 | $9.77 |
Where Nevada sits
The same service costs 4.2 times more in Nebraska than in Arkansas. 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.
Nevada· 30th of 51
$48.98
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.