How much rates vary
Facilitymedian $1,698 · 10th to 90th $389 to $4,365Professionalmedian $447 · 10th to 90th $200 to $603
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 $575.44 Median $1,698.24 Typical High $4,466.84 | Facility | None | $575.44 | $1,698.24 | $4,466.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $457.09 Typical High $575.44 | Professional | None (both parts) | $331.13 | $457.09 | $575.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $97.72 Typical High $120.23 | Professional | 26 · Professional part | $87.10 | $97.72 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $363.08 Typical High $446.68 | Professional | TC · Technical part | $213.80 | $363.08 | $446.68 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $380.19 Median $512.86 Typical High $645.65 | Professional | None (both parts) | $380.19 | $512.86 | $645.65 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $102.33 Typical High $158.49 | Professional | 26 · Professional part | $77.62 | $102.33 | $158.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $363.08 Typical High $512.86 | Professional | TC · Technical part | $302.00 | $363.08 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $269.15 Typical High $630.96 | Professional | None (both parts) | $128.82 | $269.15 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $87.10 Typical High $147.91 | Professional | 26 · Professional part | $64.57 | $87.10 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $173.78 Typical High $501.19 | Professional | TC · Technical part | $63.10 | $173.78 | $501.19 |
Hometown Health Setting Professional Modifier None Typical Low $3.89 Median $354.81 Typical High $588.84 | Professional | None | $3.89 | $354.81 | $588.84 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $1.70 Median $91.20 Typical High $141.25 | Professional | 26 · Professional part | $1.70 | $91.20 | $141.25 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $2.24 Median $251.19 Typical High $446.68 | Professional | TC · Technical part | $2.24 | $251.19 | $446.68 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $2.95 Median $2.95 Typical High $588.84 | Professional | None (both parts) | $2.95 | $2.95 | $588.84 |
Select Health Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $4,265.80 | Facility | None | $389.05 | $389.05 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $245.47 Median $295.12 Typical High $389.05 | Professional | None (both parts) | $245.47 | $295.12 | $389.05 |
United Setting Facility Modifier None Typical Low $251.19 Median $1,412.54 Typical High $2,041.74 | Facility | None | $251.19 | $1,412.54 | $2,041.74 |
United Setting Professional Modifier None (both parts) Typical Low $83.18 Median $275.42 Typical High $575.44 | Professional | None (both parts) | $83.18 | $275.42 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $93.33 Typical High $158.49 | Professional | 26 · Professional part | $75.86 | $93.33 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $281.84 Typical High $512.86 | Professional | TC · Technical part | $151.36 | $281.84 | $512.86 |
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 $186.21 Median $229.09 Typical High $288.40 | Professional | 52 · Reduced service | $186.21 | $229.09 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $93.33 Typical High $114.82 | Professional | 53 · Discontinued | $74.13 | $93.33 | $114.82 |
Where Nevada sits
The same service costs 6.5 times more in Alaska than in Kentucky. 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· 24th of 51
$447
AK $1,413KY $219
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.