How much rates vary
Facilitymedian $234 · 10th to 90th $219 to $4,266Professionalmedian $251 · 10th to 90th $178 to $372
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 $234.42 Median $263.03 Typical High $1,202.26 | Facility | None | $234.42 | $263.03 | $1,202.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $234.42 Typical High $263.03 | Professional | None (both parts) | $213.80 | $234.42 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $72.44 | Professional | 26 · Professional part | $63.10 | $63.10 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $169.82 Typical High $190.55 | Professional | TC · Technical part | $158.49 | $169.82 | $190.55 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $177.83 | $177.83 | $177.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 26 · Professional part | $47.86 | $47.86 | $47.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $223.87 Median $257.04 Typical High $501.19 | Professional | None (both parts) | $223.87 | $257.04 | $501.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $69.18 Typical High $134.90 | Professional | 26 · Professional part | $60.26 | $69.18 | $134.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $186.21 Typical High $363.08 | Professional | TC · Technical part | $162.18 | $186.21 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $257.04 Typical High $380.19 | Professional | None (both parts) | $173.78 | $257.04 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $75.86 Typical High $104.71 | Professional | 26 · Professional part | $52.48 | $75.86 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $177.83 Typical High $275.42 | Professional | TC · Technical part | $123.03 | $177.83 | $275.42 |
Hometown Health Setting Professional Modifier None Typical Low $2.75 Median $218.78 Typical High $354.81 | Professional | None | $2.75 | $218.78 | $354.81 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $1.00 Median $63.10 Typical High $95.50 | Professional | 26 · Professional part | $1.00 | $63.10 | $95.50 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $1.74 Median $151.36 Typical High $257.04 | Professional | TC · Technical part | $1.74 | $151.36 | $257.04 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $2.75 Median $2.75 Typical High $331.13 | Professional | None (both parts) | $2.75 | $2.75 | $331.13 |
Select Health Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $4,265.80 | Facility | None | $218.78 | $218.78 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $218.78 | Professional | None (both parts) | $134.90 | $134.90 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $218.78 Median $275.42 Typical High $346.74 | Professional | None (both parts) | $218.78 | $275.42 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $75.86 Typical High $107.15 | Professional | 26 · Professional part | $58.88 | $75.86 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $190.55 Typical High $281.84 | Professional | TC · Technical part | $151.36 | $190.55 | $281.84 |
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 $114.82 Median $114.82 Typical High $131.83 | Professional | 52 · Reduced service | $114.82 | $114.82 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $46.77 Typical High $52.48 | Professional | 53 · Discontinued | $46.77 | $46.77 | $52.48 |
Where Nevada sits
The same service costs 3.5 times more in Alaska than in Utah. 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· 39th of 51
$251
AK $562UT $158
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.