How much rates vary
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 $17.78 Median $17.78 Typical High $19.05 | Facility | None | $17.78 | $17.78 | $19.05 |
Aetna Setting Professional Modifier None (both parts) Typical Low $17.38 Median $17.78 Typical High $21.88 | Professional | None (both parts) | $17.38 | $17.78 | $21.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $13.80 Typical High $14.79 | Professional | 26 · Professional part | $12.30 | $13.80 | $14.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.63 Median $3.89 Typical High $4.68 | Professional | TC · Technical part | $3.63 | $3.89 | $4.68 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $16.22 Median $19.05 Typical High $22.91 | Professional | None (both parts) | $16.22 | $19.05 | $22.91 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $14.79 Typical High $17.38 | Professional | 26 · Professional part | $12.88 | $14.79 | $17.38 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $3.63 Median $4.17 Typical High $4.90 | Professional | TC · Technical part | $3.63 | $4.17 | $4.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $12.02 Median $18.62 Typical High $56.23 | Professional | None (both parts) | $12.02 | $18.62 | $56.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $10.72 Typical High $15.85 | Professional | 26 · Professional part | $10.23 | $10.72 | $15.85 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1.17 Median $3.80 Typical High $39.81 | Professional | TC · Technical part | $1.17 | $3.80 | $39.81 |
Hometown Health Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $23.99 | Professional | None | $16.60 | $16.60 | $23.99 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $12.88 Typical High $15.49 | Professional | 26 · Professional part | $10.96 | $12.88 | $15.49 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $3.63 Median $3.63 Typical High $9.77 | Professional | TC · Technical part | $3.63 | $3.63 | $9.77 |
Select Health Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $4,265.80 | Facility | None | $16.60 | $16.60 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $11.75 Median $15.49 Typical High $24.55 | Professional | None (both parts) | $11.75 | $15.49 | $24.55 |
United Setting Professional Modifier None (both parts) Typical Low $15.49 Median $26.92 Typical High $46.77 | Professional | None (both parts) | $15.49 | $26.92 | $46.77 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $12.59 Typical High $20.42 | Professional | 26 · Professional part | $11.48 | $12.59 | $20.42 |
United Setting Professional Modifier TC · Technical part Typical Low $2.95 Median $20.42 Typical High $34.67 | Professional | TC · Technical part | $2.95 | $20.42 | $34.67 |
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 $8.71 Median $8.71 Typical High $10.72 | Professional | 52 · Reduced service | $8.71 | $8.71 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $3.55 Typical High $4.27 | Professional | 53 · Discontinued | $3.55 | $3.55 | $4.27 |
Where Nevada sits
The same service costs 2.6 times more in California than in New York. 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· 34th of 51
$17.78
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.