How much rates vary
Facilitymedian $162 · 10th to 90th $135 to $4,266Professionalmedian $158 · 10th to 90th $54 to $257
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 $162.18 Median $162.18 Typical High $181.97 | Facility | None | $162.18 | $162.18 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $162.18 Typical High $181.97 | Professional | None (both parts) | $114.82 | $162.18 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $45.71 Typical High $51.29 | Professional | 26 · Professional part | $22.39 | $45.71 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $114.82 Typical High $128.82 | Professional | TC · Technical part | $81.28 | $114.82 | $128.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $123.03 Median $199.53 Typical High $295.12 | Professional | None (both parts) | $123.03 | $199.53 | $295.12 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $50.12 Typical High $91.20 | Professional | 26 · Professional part | $39.81 | $50.12 | $91.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $151.36 Typical High $223.87 | Professional | TC · Technical part | $120.23 | $151.36 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $102.33 Typical High $234.42 | Professional | None (both parts) | $37.15 | $102.33 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $28.84 Typical High $67.61 | Professional | 26 · Professional part | $9.77 | $28.84 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $87.10 Typical High $177.83 | Professional | TC · Technical part | $27.54 | $87.10 | $177.83 |
Hometown Health Setting Professional Modifier None Typical Low $0.60 Median $134.90 Typical High $218.78 | Professional | None | $0.60 | $134.90 | $218.78 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.60 Median $33.88 Typical High $50.12 | Professional | 26 · Professional part | $0.60 | $33.88 | $50.12 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.60 Median $93.33 Typical High $181.97 | Professional | TC · Technical part | $0.60 | $93.33 | $181.97 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $0.60 Median $0.60 Typical High $204.17 | Professional | None (both parts) | $0.60 | $0.60 | $204.17 |
Select Health Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $4,265.80 | Facility | None | $134.90 | $134.90 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $134.90 | Professional | None (both parts) | $102.33 | $102.33 | $134.90 |
United Setting Professional Modifier None (both parts) Typical Low $60.26 Median $134.90 Typical High $213.80 | Professional | None (both parts) | $60.26 | $134.90 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $51.29 Typical High $79.43 | Professional | 26 · Professional part | $36.31 | $51.29 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $109.65 Typical High $169.82 | Professional | TC · Technical part | $56.23 | $109.65 | $169.82 |
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 $63.10 Median $81.28 Typical High $91.20 | Professional | 52 · Reduced service | $63.10 | $81.28 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $32.36 Typical High $36.31 | Professional | 53 · Discontinued | $25.12 | $32.36 | $36.31 |
Where Nevada sits
The same service costs 5.2 times more in Alaska than in Indiana. 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· 20th of 51
$158
AK $363IN $69.18
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.