How much rates vary
Facilitymedian $537 · 10th to 90th $63 to $3,715Professionalmedian $93 · 10th to 90th $76 to $155
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 $81.28 Median $81.28 Typical High $83.18 | Facility | None | $81.28 | $81.28 | $83.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $83.18 Typical High $109.65 | Professional | None (both parts) | $81.28 | $83.18 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $47.86 Typical High $53.70 | Professional | 26 · Professional part | $46.77 | $47.86 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $36.31 Typical High $56.23 | Professional | TC · Technical part | $35.48 | $36.31 | $56.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,238.72 Median $3,548.13 Typical High $4,466.84 | Facility | None | $2,238.72 | $3,548.13 | $4,466.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $81.28 Median $97.72 Typical High $181.97 | Professional | None (both parts) | $81.28 | $97.72 | $181.97 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $54.95 Typical High $102.33 | Professional | 26 · Professional part | $44.67 | $54.95 | $102.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $43.65 Typical High $81.28 | Professional | TC · Technical part | $36.31 | $43.65 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $70.79 Typical High $549.54 | Facility | None | $56.23 | $70.79 | $549.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $75.86 Typical High $138.04 | Professional | None (both parts) | $74.13 | $75.86 | $138.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.90 Typical High $75.86 | Professional | 26 · Professional part | $32.36 | $38.90 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $37.15 Typical High $67.61 | Professional | TC · Technical part | $34.67 | $37.15 | $67.61 |
Hometown Health Setting Professional Modifier None Typical Low $1.26 Median $97.72 Typical High $173.78 | Professional | None | $1.26 | $97.72 | $173.78 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.71 Median $48.98 Typical High $81.28 | Professional | 26 · Professional part | $0.71 | $48.98 | $81.28 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.56 Median $46.77 Typical High $91.20 | Professional | TC · Technical part | $0.56 | $46.77 | $91.20 |
Hometown Health Setting Facility Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | TC · Technical part | $56.23 | $56.23 | $56.23 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $1.07 Median $1.07 Typical High $154.88 | Professional | None (both parts) | $1.07 | $1.07 | $154.88 |
Select Health Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $4,265.80 | Facility | None | $102.33 | $102.33 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None (both parts) | $91.20 | $91.20 | $91.20 |
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 $95.50 Typical High $134.90 | Professional | None (both parts) | $81.28 | $95.50 | $134.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $50.12 Typical High $81.28 | Professional | 26 · Professional part | $43.65 | $50.12 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $44.67 Typical High $69.18 | Professional | TC · Technical part | $34.67 | $44.67 | $69.18 |
4 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 $40.74 Median $41.69 Typical High $41.69 | Professional | 52 · Reduced service | $40.74 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $16.60 Typical High $16.60 | Professional | 53 · Discontinued | $16.22 | $16.60 | $16.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $12.59 Typical High $12.59 | Professional | 55 · Aftercare only | $12.30 | $12.59 | $12.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $8.32 Typical High $8.32 | Professional | 56 · Pre-op care only | $8.13 | $8.32 | $8.32 |
Where Nevada sits
The same service costs 5.9 times more in Alaska than in Alabama. 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· 42nd of 51
$97.72
AK $331AL $56.23
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.