How much rates vary
Facilitymedian $36 · 10th to 90th $30 to $117Professionalmedian $34 · 10th to 90th $28 to $66
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 $29.51 Median $36.31 Typical High $117.49 | Facility | None | $29.51 | $36.31 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $29.51 Typical High $33.88 | Professional | None (both parts) | $29.51 | $29.51 | $33.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $12.59 Typical High $14.45 | Professional | 26 · Professional part | $12.59 | $12.59 | $14.45 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $16.98 Typical High $19.50 | Professional | TC · Technical part | $16.98 | $16.98 | $19.50 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $27.54 Median $33.88 Typical High $54.95 | Professional | None (both parts) | $27.54 | $33.88 | $54.95 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $14.45 Typical High $22.39 | Professional | 26 · Professional part | $12.02 | $14.45 | $22.39 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $19.95 Typical High $34.67 | Professional | TC · Technical part | $16.22 | $19.95 | $34.67 |
Cigna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $37.15 Typical High $63.10 | Professional | None (both parts) | $27.54 | $37.15 | $63.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $12.88 Typical High $19.50 | Professional | 26 · Professional part | $10.23 | $12.88 | $19.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $21.88 Typical High $38.90 | Professional | TC · Technical part | $17.38 | $21.88 | $38.90 |
Hometown Health Setting Professional Modifier None Typical Low $0.95 Median $30.90 Typical High $48.98 | Professional | None | $0.95 | $30.90 | $48.98 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.31 Median $12.02 Typical High $18.62 | Professional | 26 · Professional part | $0.31 | $12.02 | $18.62 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.65 Median $19.05 Typical High $30.90 | Professional | TC · Technical part | $0.65 | $19.05 | $30.90 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $0.95 Median $0.95 Typical High $48.98 | Professional | None (both parts) | $0.95 | $0.95 | $48.98 |
Select Health Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $4,265.80 | Facility | None | $33.11 | $33.11 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $19.95 Median $29.51 Typical High $37.15 | Professional | None (both parts) | $19.95 | $29.51 | $37.15 |
United Setting Professional Modifier None (both parts) Typical Low $29.51 Median $44.67 Typical High $74.13 | Professional | None (both parts) | $29.51 | $44.67 | $74.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $13.49 Typical High $20.42 | Professional | 26 · Professional part | $11.22 | $13.49 | $20.42 |
United Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $30.90 Typical High $46.77 | Professional | TC · Technical part | $16.60 | $30.90 | $46.77 |
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 $14.79 Median $14.79 Typical High $16.98 | Professional | 52 · Reduced service | $14.79 | $14.79 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $5.89 Typical High $6.76 | Professional | 53 · Discontinued | $5.89 | $5.89 | $6.76 |
Where Nevada sits
The same service costs 2.6 times more in Minnesota than in Alabama. 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· 40th of 51
$33.88
MN $74.13AL $28.18
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.