How much rates vary
Facilitymedian $34 · 10th to 90th $32 to $4,266Professionalmedian $35 · 10th to 90th $29 to $58
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 $31.62 Median $31.62 Typical High $34.67 | Facility | None | $31.62 | $31.62 | $34.67 |
Aetna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $31.62 Typical High $46.77 | Professional | None (both parts) | $31.62 | $31.62 | $46.77 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $10.96 Typical High $17.38 | Professional | 26 · Professional part | $10.96 | $10.96 | $17.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $20.89 Typical High $29.51 | Professional | TC · Technical part | $20.89 | $20.89 | $29.51 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None (both parts) | $30.90 | $30.90 | $30.90 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $29.51 Median $34.67 Typical High $74.13 | Professional | None (both parts) | $29.51 | $34.67 | $74.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $12.59 Typical High $26.30 | Professional | 26 · Professional part | $10.23 | $12.59 | $26.30 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $23.99 Typical High $47.86 | Professional | TC · Technical part | $19.50 | $23.99 | $47.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $37.15 Typical High $56.23 | Professional | None (both parts) | $28.84 | $37.15 | $56.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $14.13 Typical High $21.38 | Professional | 26 · Professional part | $11.22 | $14.13 | $21.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $22.39 Typical High $35.48 | Professional | TC · Technical part | $17.38 | $22.39 | $35.48 |
Hometown Health Setting Professional Modifier None Typical Low $0.45 Median $38.90 Typical High $54.95 | Professional | None | $0.45 | $38.90 | $54.95 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.45 Median $13.49 Typical High $18.62 | Professional | 26 · Professional part | $0.45 | $13.49 | $18.62 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.45 Median $23.99 Typical High $36.31 | Professional | TC · Technical part | $0.45 | $23.99 | $36.31 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $0.45 Median $0.45 Typical High $50.12 | Professional | None (both parts) | $0.45 | $0.45 | $50.12 |
Select Health Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $4,265.80 | Facility | None | $33.88 | $33.88 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $25.70 Median $25.70 Typical High $33.88 | Professional | None (both parts) | $25.70 | $25.70 | $33.88 |
United Setting Professional Modifier None (both parts) Typical Low $30.20 Median $38.02 Typical High $56.23 | Professional | None (both parts) | $30.20 | $38.02 | $56.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $15.49 Typical High $25.12 | Professional | 26 · Professional part | $12.30 | $15.49 | $25.12 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $23.44 Typical High $38.90 | Professional | TC · Technical part | $19.05 | $23.44 | $38.90 |
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 $15.85 Median $15.85 Typical High $16.98 | Professional | 52 · Reduced service | $15.85 | $15.85 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.31 Typical High $6.92 | Professional | 53 · Discontinued | $6.31 | $6.31 | $6.92 |
Where Nevada sits
The same service costs 2.7 times more in Alaska than in Florida. 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
$35.48
AK $83.18FL $30.90
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.