How much rates vary
Facilitymedian $537 · 10th to 90th $100 to $13,183Professionalmedian $316 · 10th to 90th $219 to $501
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $281.84 Median $3,981.07 Typical High $10,715.19 | Facility | None | $281.84 | $3,981.07 | $10,715.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $281.84 Typical High $426.58 | Professional | None (both parts) | $275.42 | $281.84 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $100.00 Typical High $144.54 | Professional | 26 · Professional part | $91.20 | $100.00 | $144.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $181.97 Typical High $234.42 | Professional | TC · Technical part | $181.97 | $181.97 | $234.42 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 26 · Professional part | $85.11 | $85.11 | $85.11 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $263.03 Median $316.23 Typical High $588.84 | Professional | None (both parts) | $263.03 | $316.23 | $588.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $112.20 Typical High $204.17 | Professional | 26 · Professional part | $91.20 | $112.20 | $204.17 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $208.93 Typical High $380.19 | Professional | TC · Technical part | $169.82 | $208.93 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $13,182.57 Median $13,182.57 Typical High $14,791.08 | Facility | None | $13,182.57 | $13,182.57 | $14,791.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $229.09 Typical High $426.58 | Professional | None (both parts) | $218.78 | $229.09 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $83.18 Typical High $151.36 | Professional | 26 · Professional part | $75.86 | $83.18 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $147.91 Typical High $275.42 | Professional | TC · Technical part | $144.54 | $147.91 | $275.42 |
Hometown Health Setting Professional Modifier None Typical Low $4.27 Median $7.59 Typical High $104.71 | Professional | None | $4.27 | $7.59 | $104.71 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $4.27 Median $4.27 Typical High $4.27 | Professional | None (both parts) | $4.27 | $4.27 | $4.27 |
Select Health Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $4,265.80 | Facility | None | $102.33 | $102.33 | $4,265.80 |
United Setting Facility Modifier None Typical Low $97.72 Median $234.42 Typical High $1,949.84 | Facility | None | $97.72 | $234.42 | $1,949.84 |
United Setting Professional Modifier None (both parts) Typical Low $263.03 Median $338.84 Typical High $512.86 | Professional | None (both parts) | $263.03 | $338.84 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $114.82 Typical High $177.83 | Professional | 26 · Professional part | $87.10 | $114.82 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $229.09 Typical High $371.54 | Professional | TC · Technical part | $177.83 | $229.09 | $371.54 |
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 $141.25 Median $141.25 Typical High $162.18 | Professional | 52 · Reduced service | $141.25 | $141.25 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $64.57 | Professional | 53 · Discontinued | $56.23 | $56.23 | $64.57 |
Where Nevada sits
The same service costs 6.5 times more in Wisconsin than in Hawaii. 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· 32nd of 51
$316
WI $891HI $138
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.