How much rates vary
Facilitymedian $85 · 10th to 90th $78 to $4,266Professionalmedian $81 · 10th to 90th $54 to $112
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 $85.11 Median $85.11 Typical High $97.72 | Facility | None | $85.11 | $85.11 | $97.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $85.11 Typical High $97.72 | Professional | None (both parts) | $77.62 | $85.11 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $44.67 | Professional | 26 · Professional part | $38.90 | $38.90 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $45.71 Typical High $52.48 | Professional | TC · Technical part | $35.48 | $45.71 | $52.48 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $77.62 | Professional | None (both parts) | $72.44 | $72.44 | $77.62 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $67.61 Median $97.72 Typical High $123.03 | Professional | None (both parts) | $67.61 | $97.72 | $123.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $44.67 Typical High $69.18 | Professional | 26 · Professional part | $36.31 | $44.67 | $69.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $50.12 Typical High $63.10 | Professional | TC · Technical part | $34.67 | $50.12 | $63.10 |
Cigna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $56.23 Typical High $107.15 | Professional | None (both parts) | $48.98 | $56.23 | $107.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $36.31 Typical High $60.26 | Professional | 26 · Professional part | $31.62 | $36.31 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $19.50 Typical High $56.23 | Professional | TC · Technical part | $17.38 | $19.50 | $56.23 |
Hometown Health Setting Professional Modifier None Typical Low $0.52 Median $56.23 Typical High $112.20 | Professional | None | $0.52 | $56.23 | $112.20 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.33 Median $35.48 Typical High $54.95 | Professional | 26 · Professional part | $0.33 | $35.48 | $54.95 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.20 Median $20.42 Typical High $60.26 | Professional | TC · Technical part | $0.20 | $20.42 | $60.26 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $0.52 Median $0.52 Typical High $117.49 | Professional | None (both parts) | $0.52 | $0.52 | $117.49 |
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 |
Select Health Setting Professional Modifier None (both parts) Typical Low $48.98 Median $70.79 Typical High $89.13 | Professional | None (both parts) | $48.98 | $70.79 | $89.13 |
United Setting Professional Modifier None (both parts) Typical Low $53.70 Median $75.86 Typical High $102.33 | Professional | None (both parts) | $53.70 | $75.86 | $102.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $45.71 Typical High $64.57 | Professional | 26 · Professional part | $34.67 | $45.71 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $30.90 Typical High $56.23 | Professional | TC · Technical part | $21.88 | $30.90 | $56.23 |
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 $42.66 Median $42.66 Typical High $47.86 | Professional | 52 · Reduced service | $42.66 | $42.66 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $16.98 Typical High $19.50 | Professional | 53 · Discontinued | $16.98 | $16.98 | $19.50 |
Where Nevada sits
The same service costs 3.4 times more in Alaska than in New York. 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· 25th of 51
$81.28
AK $182NY $53.70
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.