How much rates vary
Facilitymedian $240 · 10th to 90th $229 to $4,266Professionalmedian $263 · 10th to 90th $204 to $407
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 $239.88 Median $239.88 Typical High $275.42 | Facility | None | $239.88 | $239.88 | $275.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $316.23 | Professional | None (both parts) | $239.88 | $239.88 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $93.33 Typical High $107.15 | Professional | 26 · Professional part | $66.07 | $93.33 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $147.91 Typical High $245.47 | Professional | TC · Technical part | $147.91 | $147.91 | $245.47 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 26 · Professional part | $81.28 | $81.28 | $81.28 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $229.09 Median $263.03 Typical High $501.19 | Professional | None (both parts) | $229.09 | $263.03 | $501.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $100.00 Typical High $194.98 | Professional | 26 · Professional part | $87.10 | $100.00 | $194.98 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $162.18 Typical High $302.00 | Professional | TC · Technical part | $141.25 | $162.18 | $302.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $257.04 Typical High $426.58 | Professional | None (both parts) | $234.42 | $257.04 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $79.43 Typical High $144.54 | Professional | 26 · Professional part | $48.98 | $79.43 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $190.55 Typical High $275.42 | Professional | TC · Technical part | $147.91 | $190.55 | $275.42 |
Hometown Health Setting Professional Modifier None Typical Low $2.82 Median $263.03 Typical High $389.05 | Professional | None | $2.82 | $263.03 | $389.05 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.85 Median $63.10 Typical High $141.25 | Professional | 26 · Professional part | $0.85 | $63.10 | $141.25 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $2.00 Median $194.98 Typical High $257.04 | Professional | TC · Technical part | $2.00 | $194.98 | $257.04 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $2.82 Median $2.82 Typical High $346.74 | Professional | None (both parts) | $2.82 | $2.82 | $346.74 |
Select Health Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $4,265.80 | Facility | None | $229.09 | $229.09 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $229.09 | Professional | None (both parts) | $138.04 | $138.04 | $229.09 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $281.84 Typical High $389.05 | Professional | None (both parts) | $151.36 | $281.84 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $87.10 Typical High $147.91 | Professional | 26 · Professional part | $63.10 | $87.10 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $213.80 Typical High $302.00 | Professional | TC · Technical part | $138.04 | $213.80 | $302.00 |
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 $120.23 Median $120.23 Typical High $138.04 | Professional | 52 · Reduced service | $120.23 | $120.23 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $47.86 Typical High $54.95 | Professional | 53 · Discontinued | $47.86 | $47.86 | $54.95 |
Where Nevada sits
The same service costs 4.7 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· 40th of 51
$263
AK $589UT $126
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.