How much rates vary
Facilitymedian $309 · 10th to 90th $115 to $2,042Professionalmedian $324 · 10th to 90th $245 to $513
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 $380.19 Median $1,698.24 Typical High $4,466.84 | Facility | None | $380.19 | $1,698.24 | $4,466.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $501.19 | Professional | None (both parts) | $309.03 | $309.03 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $104.71 | Professional | 26 · Professional part | $85.11 | $85.11 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $223.87 Typical High $281.84 | Professional | TC · Technical part | $223.87 | $223.87 | $281.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $302.00 Median $371.54 Typical High $549.54 | Professional | None (both parts) | $302.00 | $371.54 | $549.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $97.72 Typical High $181.97 | Professional | 26 · Professional part | $81.28 | $97.72 | $181.97 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $269.15 Typical High $371.54 | Professional | TC · Technical part | $223.87 | $269.15 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $177.83 Typical High $489.78 | Facility | None | $144.54 | $177.83 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $245.47 Typical High $478.63 | Professional | None (both parts) | $165.96 | $245.47 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $75.86 Typical High $138.04 | Professional | 26 · Professional part | $70.79 | $75.86 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $173.78 Typical High $354.81 | Professional | TC · Technical part | $89.13 | $173.78 | $354.81 |
Hometown Health Setting Professional Modifier None Typical Low $4.57 Median $281.84 Typical High $467.74 | Professional | None | $4.57 | $281.84 | $467.74 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $1.12 Median $87.10 Typical High $141.25 | Professional | 26 · Professional part | $1.12 | $87.10 | $141.25 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $3.47 Median $194.98 Typical High $323.59 | Professional | TC · Technical part | $3.47 | $194.98 | $323.59 |
Hometown Health Setting Facility Modifier TC · Technical part Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | TC · Technical part | $144.54 | $144.54 | $144.54 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $3.89 Median $3.89 Typical High $407.38 | Professional | None (both parts) | $3.89 | $3.89 | $407.38 |
Select Health Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $4,265.80 | Facility | None | $269.15 | $269.15 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $245.47 | $245.47 | $245.47 |
United Setting Facility Modifier None Typical Low $97.72 Median $234.42 Typical High $1,949.84 | Facility | None | $97.72 | $234.42 | $1,949.84 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $309.03 Typical High $489.78 | Professional | None (both parts) | $95.50 | $309.03 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $97.72 Typical High $147.91 | Professional | 26 · Professional part | $79.43 | $97.72 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $245.47 Typical High $380.19 | Professional | TC · Technical part | $204.17 | $245.47 | $380.19 |
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 $154.88 Median $154.88 Typical High $190.55 | Professional | 52 · Reduced service | $154.88 | $154.88 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $77.62 | Professional | 53 · Discontinued | $61.66 | $61.66 | $77.62 |
Where Nevada sits
The same service costs 4.8 times more in Alaska 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· 40th of 51
$324
AK $1,000UT $209
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.