How much rates vary
Facilitymedian $66 · 10th to 90th $63 to $4,266Professionalmedian $66 · 10th to 90th $54 to $98
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 $66.07 Median $66.07 Typical High $70.79 | Facility | None | $66.07 | $66.07 | $70.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $66.07 Typical High $70.79 | Professional | None (both parts) | $63.10 | $66.07 | $70.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $45.71 Typical High $48.98 | Professional | 26 · Professional part | $43.65 | $45.71 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $20.42 Typical High $21.88 | Professional | TC · Technical part | $19.50 | $20.42 | $21.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $53.70 Median $70.79 Typical High $109.65 | Professional | None (both parts) | $53.70 | $70.79 | $109.65 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $48.98 Typical High $75.86 | Professional | 26 · Professional part | $37.15 | $48.98 | $75.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $21.88 Typical High $33.88 | Professional | TC · Technical part | $16.60 | $21.88 | $33.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $64.57 Typical High $100.00 | Professional | None (both parts) | $50.12 | $64.57 | $100.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $45.71 Typical High $69.18 | Professional | 26 · Professional part | $35.48 | $45.71 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $19.05 Typical High $29.51 | Professional | TC · Technical part | $15.14 | $19.05 | $29.51 |
Hometown Health Setting Professional Modifier None Typical Low $52.48 Median $72.44 Typical High $97.72 | Professional | None | $52.48 | $72.44 | $97.72 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $51.29 Typical High $67.61 | Professional | 26 · Professional part | $37.15 | $51.29 | $67.61 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $22.39 Typical High $30.90 | Professional | TC · Technical part | $15.49 | $22.39 | $30.90 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None (both parts) | $93.33 | $93.33 | $93.33 |
Select Health Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $4,265.80 | Facility | None | $63.10 | $63.10 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $40.74 Median $47.86 Typical High $63.10 | Professional | None (both parts) | $40.74 | $47.86 | $63.10 |
United Setting Professional Modifier None (both parts) Typical Low $52.48 Median $63.10 Typical High $97.72 | Professional | None (both parts) | $52.48 | $63.10 | $97.72 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $48.98 Typical High $75.86 | Professional | 26 · Professional part | $40.74 | $48.98 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $20.42 Typical High $33.11 | Professional | TC · Technical part | $16.98 | $20.42 | $33.11 |
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 $31.62 Median $32.36 Typical High $35.48 | Professional | 52 · Reduced service | $31.62 | $32.36 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $13.18 Typical High $14.13 | Professional | 53 · Discontinued | $12.59 | $13.18 | $14.13 |
Where Nevada sits
The same service costs 3.9 times more in Alaska than in Texas. 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· 37th of 51
$66.07
AK $170TX $43.65
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.