How much rates vary
Facilitymedian $209 · 10th to 90th $182 to $4,266Professionalmedian $204 · 10th to 90th $87 to $339
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 $181.97 Median $181.97 Typical High $208.93 | Facility | None | $181.97 | $181.97 | $208.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $208.93 | Professional | None (both parts) | $181.97 | $181.97 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $91.20 Typical High $104.71 | Professional | 26 · Professional part | $91.20 | $91.20 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $104.71 | Professional | TC · Technical part | $91.20 | $91.20 | $104.71 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 26 · Professional part | $85.11 | $85.11 | $85.11 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $87.10 Median $173.78 Typical High $295.12 | Professional | None (both parts) | $87.10 | $173.78 | $295.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $213.80 Typical High $309.03 | Professional | None (both parts) | $154.88 | $213.80 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $107.15 Typical High $151.36 | Professional | 26 · Professional part | $75.86 | $107.15 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $112.20 Typical High $177.83 | Professional | TC · Technical part | $79.43 | $112.20 | $177.83 |
Hometown Health Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $4.90 | Professional | None | $3.02 | $3.02 | $4.90 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $1.20 Median $89.13 Typical High $138.04 | Professional | 26 · Professional part | $1.20 | $89.13 | $138.04 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $1.82 Median $1.82 Typical High $2.95 | Professional | TC · Technical part | $1.82 | $1.82 | $2.95 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $3.02 Median $3.02 Typical High $3.02 | Professional | None (both parts) | $3.02 | $3.02 | $3.02 |
Select Health Setting Facility Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Facility | None | $4,265.80 | $4,265.80 | $4,265.80 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $85.11 | Professional | 26 · Professional part | $53.70 | $53.70 | $85.11 |
United Setting Professional Modifier None (both parts) Typical Low $218.78 Median $295.12 Typical High $416.87 | Professional | None (both parts) | $218.78 | $295.12 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $109.65 Typical High $151.36 | Professional | 26 · Professional part | $85.11 | $109.65 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $204.17 Typical High $316.23 | Professional | TC · Technical part | $165.96 | $204.17 | $316.23 |
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 $91.20 Median $91.20 Typical High $104.71 | Professional | 52 · Reduced service | $91.20 | $91.20 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $41.69 | Professional | 53 · Discontinued | $36.31 | $36.31 | $41.69 |
Where Nevada sits
The same service costs 3.1 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· 48th of 51
$204
AK $537NY $174
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.