How much rates vary
Facilitymedian $48 · 10th to 90th $48 to $4,266Professionalmedian $48 · 10th to 90th $40 to $71
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 $47.86 Median $47.86 Typical High $52.48 | Facility | None | $47.86 | $47.86 | $52.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $47.86 Typical High $63.10 | Professional | None (both parts) | $44.67 | $47.86 | $63.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $20.89 Typical High $23.44 | Professional | 26 · Professional part | $19.95 | $20.89 | $23.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $26.30 Typical High $42.66 | Professional | TC · Technical part | $25.12 | $26.30 | $42.66 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None (both parts) | $43.65 | $43.65 | $43.65 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $38.90 Median $51.29 Typical High $61.66 | Professional | None (both parts) | $38.90 | $51.29 | $61.66 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $22.91 Typical High $24.55 | Professional | 26 · Professional part | $19.50 | $22.91 | $24.55 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $28.84 Typical High $34.67 | Professional | TC · Technical part | $25.12 | $28.84 | $34.67 |
Cigna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $46.77 Typical High $85.11 | Professional | None (both parts) | $39.81 | $46.77 | $85.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $18.20 Typical High $30.20 | Professional | 26 · Professional part | $17.78 | $18.20 | $30.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $23.99 Typical High $56.23 | Professional | TC · Technical part | $22.39 | $23.99 | $56.23 |
Hometown Health Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $57.54 | Professional | None | $47.86 | $47.86 | $57.54 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.42 Typical High $25.70 | Professional | 26 · Professional part | $20.42 | $20.42 | $25.70 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $26.92 Typical High $32.36 | Professional | TC · Technical part | $26.92 | $26.92 | $32.36 |
Select Health Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $4,265.80 | Facility | None | $47.86 | $47.86 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $33.11 Median $44.67 Typical High $60.26 | Professional | None (both parts) | $33.11 | $44.67 | $60.26 |
United Setting Professional Modifier None (both parts) Typical Low $33.88 Median $63.10 Typical High $75.86 | Professional | None (both parts) | $33.88 | $63.10 | $75.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $21.38 Typical High $31.62 | Professional | 26 · Professional part | $19.50 | $21.38 | $31.62 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $42.66 Typical High $48.98 | Professional | TC · Technical part | $23.99 | $42.66 | $48.98 |
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 $22.39 Median $23.44 Typical High $30.20 | Professional | 52 · Reduced service | $22.39 | $23.44 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.55 Typical High $12.02 | Professional | 53 · Discontinued | $9.12 | $9.55 | $12.02 |
Where Nevada sits
The same service costs 3.4 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· 27th of 51
$47.86
AK $123UT $36.31
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.