How much rates vary
Facilitymedian $59 · 10th to 90th $33 to $4,266Professionalmedian $59 · 10th to 90th $33 to $78
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 $58.88 Median $58.88 Typical High $66.07 | Facility | None | $58.88 | $58.88 | $66.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $58.88 Typical High $66.07 | Professional | None (both parts) | $47.86 | $58.88 | $66.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $12.30 Typical High $13.80 | Professional | 26 · Professional part | $11.22 | $12.30 | $13.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $46.77 Typical High $52.48 | Professional | TC · Technical part | $44.67 | $46.77 | $52.48 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $56.23 Median $64.57 Typical High $75.86 | Professional | None (both parts) | $56.23 | $64.57 | $75.86 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $13.18 Typical High $15.85 | Professional | 26 · Professional part | $11.48 | $13.18 | $15.85 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $51.29 Typical High $60.26 | Professional | TC · Technical part | $44.67 | $51.29 | $60.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $52.48 Typical High $100.00 | Professional | None (both parts) | $40.74 | $52.48 | $100.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $10.47 Typical High $15.85 | Professional | 26 · Professional part | $10.47 | $10.47 | $15.85 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $41.69 Typical High $85.11 | Professional | TC · Technical part | $41.69 | $41.69 | $85.11 |
Hometown Health Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $67.61 | Professional | None | $33.11 | $33.11 | $67.61 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $13.49 Typical High $17.78 | Professional | 26 · Professional part | $12.59 | $13.49 | $17.78 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $19.50 Typical High $54.95 | Professional | TC · Technical part | $19.50 | $19.50 | $54.95 |
Select Health Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $4,265.80 | Facility | None | $33.11 | $33.11 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $30.90 Median $33.11 Typical High $51.29 | Professional | None (both parts) | $30.90 | $33.11 | $51.29 |
United Setting Professional Modifier None (both parts) Typical Low $26.30 Median $61.66 Typical High $85.11 | Professional | None (both parts) | $26.30 | $61.66 | $85.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $12.02 Typical High $15.85 | Professional | 26 · Professional part | $10.96 | $12.02 | $15.85 |
United Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $54.95 Typical High $70.79 | Professional | TC · Technical part | $43.65 | $54.95 | $70.79 |
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 $26.30 Median $29.51 Typical High $33.11 | Professional | 52 · Reduced service | $26.30 | $29.51 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $11.75 Typical High $13.18 | Professional | 53 · Discontinued | $10.47 | $11.75 | $13.18 |
Where Nevada sits
The same service costs 3.3 times more in Alaska than in Ohio. 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· 13th of 51
$58.88
AK $110OH $33.11
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.