How much rates vary
Facilitymedian $17 · 10th to 90th $17 to $4,266Professionalmedian $17 · 10th to 90th $10 to $25
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 $16.60 Median $16.60 Typical High $19.05 | Facility | None | $16.60 | $16.60 | $19.05 |
Aetna Setting Professional Modifier None (both parts) Typical Low $16.60 Median $16.60 Typical High $19.05 | Professional | None (both parts) | $16.60 | $16.60 | $19.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $8.51 Typical High $9.55 | Professional | 26 · Professional part | $8.51 | $8.51 | $9.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $8.13 Median $8.13 Typical High $9.12 | Professional | TC · Technical part | $8.13 | $8.13 | $9.12 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $9.33 Median $16.98 Typical High $27.54 | Professional | None (both parts) | $9.33 | $16.98 | $27.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.33 Typical High $12.30 | Professional | 26 · Professional part | $7.94 | $9.33 | $12.30 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $7.41 Median $8.13 Typical High $12.59 | Professional | TC · Technical part | $7.41 | $8.13 | $12.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $13.80 Median $15.14 Typical High $26.92 | Professional | None (both parts) | $13.80 | $15.14 | $26.92 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $7.24 Typical High $13.18 | Professional | 26 · Professional part | $6.76 | $7.24 | $13.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $7.24 Median $7.76 Typical High $13.80 | Professional | TC · Technical part | $7.24 | $7.76 | $13.80 |
Hometown Health Setting Professional Modifier None Typical Low $0.18 Median $16.98 Typical High $25.12 | Professional | None | $0.18 | $16.98 | $25.12 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.09 Median $8.32 Typical High $12.59 | Professional | 26 · Professional part | $0.09 | $8.32 | $12.59 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.09 Median $8.71 Typical High $12.88 | Professional | TC · Technical part | $0.09 | $8.71 | $12.88 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $0.18 Median $0.18 Typical High $25.12 | Professional | None (both parts) | $0.18 | $0.18 | $25.12 |
Select Health Setting Facility Modifier None Typical Low $16.98 Median $16.98 Typical High $4,265.80 | Facility | None | $16.98 | $16.98 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $10.23 Median $15.14 Typical High $19.05 | Professional | None (both parts) | $10.23 | $15.14 | $19.05 |
United Setting Professional Modifier None (both parts) Typical Low $14.45 Median $17.38 Typical High $25.12 | Professional | None (both parts) | $14.45 | $17.38 | $25.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $9.55 Typical High $14.13 | Professional | 26 · Professional part | $7.76 | $9.55 | $14.13 |
United Setting Professional Modifier TC · Technical part Typical Low $7.41 Median $9.55 Typical High $14.13 | Professional | TC · Technical part | $7.41 | $9.55 | $14.13 |
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 $8.32 Median $8.32 Typical High $9.33 | Professional | 52 · Reduced service | $8.32 | $8.32 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.31 Median $3.31 Typical High $3.80 | Professional | 53 · Discontinued | $3.31 | $3.31 | $3.80 |
Where Nevada sits
The same service costs 2.7 times more in Minnesota 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· 45th of 51
$16.60
MN $38.02FL $14.13
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.