How much rates vary
Facilitymedian $65 · 10th to 90th $65 to $4,266Professionalmedian $65 · 10th to 90th $52 to $74
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 $64.57 Median $64.57 Typical High $72.44 | Facility | None | $64.57 | $64.57 | $72.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $64.57 Typical High $72.44 | Professional | None (both parts) | $60.26 | $64.57 | $72.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $37.15 Typical High $41.69 | Professional | 26 · Professional part | $34.67 | $37.15 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $26.92 Typical High $30.20 | Professional | TC · Technical part | $24.55 | $26.92 | $30.20 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $60.26 Median $64.57 Typical High $74.13 | Professional | None (both parts) | $60.26 | $64.57 | $74.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $56.23 Median $69.18 Typical High $79.43 | Professional | None (both parts) | $56.23 | $69.18 | $79.43 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $40.74 Typical High $45.71 | Professional | 26 · Professional part | $34.67 | $40.74 | $45.71 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $29.51 Typical High $33.11 | Professional | TC · Technical part | $21.88 | $29.51 | $33.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $53.70 Typical High $70.79 | Professional | None (both parts) | $52.48 | $53.70 | $70.79 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $31.62 Typical High $45.71 | Professional | 26 · Professional part | $29.51 | $31.62 | $45.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $22.39 Typical High $30.20 | Professional | TC · Technical part | $21.38 | $22.39 | $30.20 |
Hometown Health Setting Professional Modifier None Typical Low $63.10 Median $64.57 Typical High $77.62 | Professional | None | $63.10 | $64.57 | $77.62 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $36.31 Typical High $43.65 | Professional | 26 · Professional part | $35.48 | $36.31 | $43.65 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $28.18 Typical High $33.88 | Professional | TC · Technical part | $26.92 | $28.18 | $33.88 |
Select Health Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $4,265.80 | Facility | None | $64.57 | $64.57 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $44.67 Median $60.26 Typical High $81.28 | Professional | None (both parts) | $44.67 | $60.26 | $81.28 |
United Setting Professional Modifier None (both parts) Typical Low $33.88 Median $57.54 Typical High $85.11 | Professional | None (both parts) | $33.88 | $57.54 | $85.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $36.31 Typical High $56.23 | Professional | 26 · Professional part | $33.11 | $36.31 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $22.39 Typical High $38.90 | Professional | TC · Technical part | $19.05 | $22.39 | $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 $30.20 Median $32.36 Typical High $35.48 | Professional | 52 · Reduced service | $30.20 | $32.36 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.88 Typical High $14.45 | Professional | 53 · Discontinued | $12.02 | $12.88 | $14.45 |
Where Nevada sits
The same service costs 3.7 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· 22nd of 51
$64.57
AK $170FL $45.71
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.