How much rates vary
Facilitymedian $162 · 10th to 90th $155 to $4,266Professionalmedian $162 · 10th to 90th $123 to $263
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 $162.18 Median $162.18 Typical High $186.21 | Facility | None | $162.18 | $162.18 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $162.18 Typical High $186.21 | Professional | None (both parts) | $144.54 | $162.18 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $37.15 Typical High $42.66 | Professional | 26 · Professional part | $36.31 | $37.15 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $125.89 Typical High $144.54 | Professional | TC · Technical part | $107.15 | $125.89 | $144.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $123.03 | $123.03 | $123.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $158.49 Median $181.97 Typical High $323.59 | Professional | None (both parts) | $158.49 | $181.97 | $323.59 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $40.74 Typical High $77.62 | Professional | 26 · Professional part | $35.48 | $40.74 | $77.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $141.25 Typical High $251.19 | Professional | TC · Technical part | $120.23 | $141.25 | $251.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $151.36 Typical High $263.03 | Professional | None (both parts) | $112.20 | $151.36 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $43.65 Typical High $61.66 | Professional | 26 · Professional part | $30.20 | $43.65 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $109.65 Typical High $204.17 | Professional | TC · Technical part | $83.18 | $109.65 | $204.17 |
Hometown Health Setting Professional Modifier None Typical Low $1.51 Median $144.54 Typical High $245.47 | Professional | None | $1.51 | $144.54 | $245.47 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.65 Median $36.31 Typical High $54.95 | Professional | 26 · Professional part | $0.65 | $36.31 | $54.95 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.85 Median $104.71 Typical High $190.55 | Professional | TC · Technical part | $0.85 | $104.71 | $190.55 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $1.51 Median $1.51 Typical High $229.09 | Professional | None (both parts) | $1.51 | $1.51 | $229.09 |
Select Health Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $4,265.80 | Facility | None | $154.88 | $154.88 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $154.88 | Professional | None (both parts) | $95.50 | $95.50 | $154.88 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $165.96 Typical High $245.47 | Professional | None (both parts) | $125.89 | $165.96 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $43.65 Typical High $61.66 | Professional | 26 · Professional part | $33.88 | $43.65 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $123.03 Typical High $199.53 | Professional | TC · Technical part | $95.50 | $123.03 | $199.53 |
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 $81.28 Median $81.28 Typical High $93.33 | Professional | 52 · Reduced service | $81.28 | $81.28 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $37.15 | Professional | 53 · Discontinued | $33.11 | $33.11 | $37.15 |
Where Nevada sits
The same service costs 3.0 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· 37th of 51
$162
AK $380UT $129
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.