How much rates vary
Facilitymedian $525 · 10th to 90th $355 to $4,266Professionalmedian $501 · 10th to 90th $269 to $832
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 $524.81 Median $524.81 Typical High $602.56 | Facility | None | $524.81 | $524.81 | $602.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $524.81 Median $524.81 Typical High $645.65 | Professional | None (both parts) | $524.81 | $524.81 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $128.82 Typical High $151.36 | Professional | 26 · Professional part | $128.82 | $128.82 | $151.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $489.78 Median $489.78 Typical High $630.96 | Professional | TC · Technical part | $489.78 | $489.78 | $630.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $501.19 Median $575.44 Typical High $1,000.00 | Professional | None (both parts) | $501.19 | $575.44 | $1,000.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $141.25 Typical High $269.15 | Professional | 26 · Professional part | $123.03 | $141.25 | $269.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $549.54 Typical High $933.25 | Professional | TC · Technical part | $478.63 | $549.54 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $338.84 Typical High $436.52 | Professional | None (both parts) | $234.42 | $338.84 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $158.49 Typical High $218.78 | Professional | 26 · Professional part | $114.82 | $158.49 | $218.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $169.82 Typical High $218.78 | Professional | TC · Technical part | $120.23 | $169.82 | $218.78 |
Hometown Health Setting Professional Modifier None Typical Low $3.72 Median $309.03 Typical High $416.87 | Professional | None | $3.72 | $309.03 | $416.87 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $1.82 Median $138.04 Typical High $223.87 | Professional | 26 · Professional part | $1.82 | $138.04 | $223.87 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $1.95 Median $186.21 Typical High $263.03 | Professional | TC · Technical part | $1.95 | $186.21 | $263.03 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $3.72 Median $3.72 Typical High $3.72 | Professional | None (both parts) | $3.72 | $3.72 | $3.72 |
Select Health Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $4,265.80 | Facility | None | $354.81 | $354.81 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $302.00 Median $354.81 Typical High $436.52 | Professional | None (both parts) | $302.00 | $354.81 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $295.12 Median $416.87 Typical High $794.33 | Professional | None (both parts) | $295.12 | $416.87 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $169.82 Typical High $218.78 | Professional | 26 · Professional part | $125.89 | $169.82 | $218.78 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $426.58 Typical High $794.33 | Professional | TC · Technical part | $186.21 | $426.58 | $794.33 |
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 $263.03 Median $263.03 Typical High $302.00 | Professional | 52 · Reduced service | $263.03 | $263.03 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $104.71 Typical High $120.23 | Professional | 53 · Discontinued | $104.71 | $104.71 | $120.23 |
Where Nevada sits
The same service costs 3.1 times more in Alaska than in Washington. 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· 23rd of 51
$501
AK $1,000WA $324
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.