How much rates vary
Facilitymedian $479 · 10th to 90th $100 to $13,183Professionalmedian $186 · 10th to 90th $135 to $295
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 $169.82 Median $3,981.07 Typical High $10,715.19 | Facility | None | $169.82 | $3,981.07 | $10,715.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $169.82 Typical High $257.04 | Professional | None (both parts) | $165.96 | $169.82 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $79.43 Typical High $112.20 | Professional | 26 · Professional part | $72.44 | $79.43 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $91.20 Typical High $104.71 | Professional | TC · Technical part | $89.13 | $91.20 | $104.71 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $158.49 Median $194.98 Typical High $363.08 | Professional | None (both parts) | $158.49 | $194.98 | $363.08 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $89.13 Typical High $165.96 | Professional | 26 · Professional part | $74.13 | $89.13 | $165.96 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $107.15 Typical High $194.98 | Professional | TC · Technical part | $87.10 | $107.15 | $194.98 |
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 $134.90 Median $141.25 Typical High $257.04 | Professional | None (both parts) | $134.90 | $141.25 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $66.07 Typical High $120.23 | Professional | 26 · Professional part | $60.26 | $66.07 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $74.13 Typical High $138.04 | Professional | TC · Technical part | $74.13 | $74.13 | $138.04 |
Hometown Health Setting Professional Modifier None Typical Low $2.24 Median $4.07 Typical High $81.28 | Professional | None | $2.24 | $4.07 | $81.28 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $2.24 Median $2.24 Typical High $2.24 | Professional | None (both parts) | $2.24 | $2.24 | $2.24 |
Select Health Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $4,265.80 | Facility | None | $77.62 | $77.62 | $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 $158.49 Median $204.17 Typical High $302.00 | Professional | None (both parts) | $158.49 | $204.17 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $91.20 Typical High $144.54 | Professional | 26 · Professional part | $69.18 | $91.20 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $114.82 Typical High $186.21 | Professional | TC · Technical part | $89.13 | $114.82 | $186.21 |
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 $85.11 Median $85.11 Typical High $97.72 | Professional | 52 · Reduced service | $85.11 | $85.11 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $38.90 | Professional | 53 · Discontinued | $33.88 | $33.88 | $38.90 |
Where Nevada sits
The same service costs 4.3 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· 35th of 51
$195
WI $562HI $132
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.