How much rates vary
Facilitymedian $135 · 10th to 90th $129 to $4,266Professionalmedian $129 · 10th to 90th $85 to $148
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 $128.82 Median $128.82 Typical High $138.04 | Facility | None | $128.82 | $128.82 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $128.82 Typical High $138.04 | Professional | None (both parts) | $107.15 | $128.82 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $15.49 Typical High $16.60 | Professional | 26 · Professional part | $13.80 | $15.49 | $16.60 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $112.20 Typical High $123.03 | Professional | TC · Technical part | $89.13 | $112.20 | $123.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None (both parts) | $125.89 | $125.89 | $125.89 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $104.71 Median $141.25 Typical High $158.49 | Professional | None (both parts) | $104.71 | $141.25 | $158.49 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $16.60 Typical High $19.05 | Professional | 26 · Professional part | $14.45 | $16.60 | $19.05 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $123.03 Typical High $141.25 | Professional | TC · Technical part | $93.33 | $123.03 | $141.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $87.10 Typical High $114.82 | Professional | None (both parts) | $22.91 | $87.10 | $114.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.30 Typical High $19.95 | Professional | 26 · Professional part | $12.02 | $12.30 | $19.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $11.48 Median $74.13 Typical High $95.50 | Professional | TC · Technical part | $11.48 | $74.13 | $95.50 |
Hometown Health Setting Professional Modifier None Typical Low $102.33 Median $134.90 Typical High $162.18 | Professional | None | $102.33 | $134.90 | $162.18 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $14.79 Typical High $17.38 | Professional | 26 · Professional part | $14.79 | $14.79 | $17.38 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $120.23 Typical High $144.54 | Professional | TC · Technical part | $87.10 | $120.23 | $144.54 |
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 $93.33 Median $125.89 Typical High $190.55 | Professional | None (both parts) | $93.33 | $125.89 | $190.55 |
United Setting Professional Modifier None (both parts) Typical Low $31.62 Median $91.20 Typical High $169.82 | Professional | None (both parts) | $31.62 | $91.20 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $14.79 Typical High $23.44 | Professional | 26 · Professional part | $13.80 | $14.79 | $23.44 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $83.18 Typical High $147.91 | Professional | TC · Technical part | $69.18 | $83.18 | $147.91 |
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 $53.70 Median $64.57 Typical High $69.18 | Professional | 52 · Reduced service | $53.70 | $64.57 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $25.70 Typical High $27.54 | Professional | 53 · Discontinued | $21.38 | $25.70 | $27.54 |
Where Nevada sits
The same service costs 3.0 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
$129
AK $245FL $81.28
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.