How much rates vary
Facilitymedian $275 · 10th to 90th $115 to $2,042Professionalmedian $245 · 10th to 90th $166 to $398
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 $288.40 Median $1,698.24 Typical High $4,466.84 | Facility | None | $288.40 | $1,698.24 | $4,466.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $354.81 | Professional | None (both parts) | $234.42 | $234.42 | $354.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $95.50 | Professional | 26 · Professional part | $75.86 | $75.86 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $158.49 Typical High $194.98 | Professional | TC · Technical part | $158.49 | $158.49 | $194.98 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $229.09 Median $275.42 Typical High $398.11 | Professional | None (both parts) | $229.09 | $275.42 | $398.11 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $89.13 Typical High $162.18 | Professional | 26 · Professional part | $72.44 | $89.13 | $162.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $190.55 Typical High $257.04 | Professional | TC · Technical part | $154.88 | $190.55 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $158.49 Typical High $512.86 | Facility | None | $128.82 | $158.49 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $181.97 Typical High $363.08 | Professional | None (both parts) | $165.96 | $181.97 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $66.07 Typical High $123.03 | Professional | 26 · Professional part | $63.10 | $66.07 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $117.49 Typical High $251.19 | Professional | TC · Technical part | $104.71 | $117.49 | $251.19 |
Hometown Health Setting Professional Modifier None Typical Low $3.47 Median $199.53 Typical High $346.74 | Professional | None | $3.47 | $199.53 | $346.74 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.91 Median $77.62 Typical High $125.89 | Professional | 26 · Professional part | $0.91 | $77.62 | $125.89 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $2.51 Median $123.03 Typical High $213.80 | Professional | TC · Technical part | $2.51 | $123.03 | $213.80 |
Hometown Health Setting Facility Modifier TC · Technical part Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | TC · Technical part | $128.82 | $128.82 | $128.82 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $2.95 Median $2.95 Typical High $295.12 | Professional | None (both parts) | $2.95 | $2.95 | $295.12 |
Select Health Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $4,265.80 | Facility | None | $199.53 | $199.53 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $177.83 | $177.83 | $177.83 |
United Setting Facility Modifier None Typical Low $97.72 Median $245.47 Typical High $1,949.84 | Facility | None | $97.72 | $245.47 | $1,949.84 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $234.42 Typical High $346.74 | Professional | None (both parts) | $81.28 | $234.42 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $85.11 Typical High $131.83 | Professional | 26 · Professional part | $72.44 | $85.11 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $169.82 Typical High $263.03 | Professional | TC · Technical part | $134.90 | $169.82 | $263.03 |
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 $117.49 Median $117.49 Typical High $144.54 | Professional | 52 · Reduced service | $117.49 | $117.49 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $46.77 Typical High $58.88 | Professional | 53 · Discontinued | $46.77 | $46.77 | $58.88 |
Where Nevada sits
The same service costs 5.2 times more in Wisconsin than in Utah. 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· 41st of 51
$245
WI $708UT $135
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.