How much rates vary
Facilitymedian $26 · 10th to 90th $25 to $4,266Professionalmedian $31 · 10th to 90th $22 to $60
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 $26.30 Median $30.20 Typical High $93.33 | Facility | None | $26.30 | $30.20 | $93.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $26.30 Typical High $34.67 | Professional | None (both parts) | $26.30 | $26.30 | $34.67 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.41 Typical High $9.33 | Professional | 26 · Professional part | $7.41 | $7.41 | $9.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $19.05 Typical High $24.55 | Professional | TC · Technical part | $19.05 | $19.05 | $24.55 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | None (both parts) | $20.42 | $20.42 | $20.42 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $25.12 Median $28.84 Typical High $57.54 | Professional | None (both parts) | $25.12 | $28.84 | $57.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $7.94 Typical High $15.49 | Professional | 26 · Professional part | $6.92 | $7.94 | $15.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $20.89 Typical High $41.69 | Professional | TC · Technical part | $18.20 | $20.89 | $41.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $22.39 Median $40.74 Typical High $63.10 | Professional | None (both parts) | $22.39 | $40.74 | $63.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $9.12 Typical High $12.88 | Professional | 26 · Professional part | $6.17 | $9.12 | $12.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $29.51 Typical High $52.48 | Professional | TC · Technical part | $16.60 | $29.51 | $52.48 |
Hometown Health Setting Professional Modifier None Typical Low $0.71 Median $25.12 Typical High $40.74 | Professional | None | $0.71 | $25.12 | $40.74 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $8.32 Typical High $12.30 | Professional | 26 · Professional part | $6.17 | $8.32 | $12.30 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.60 Median $18.20 Typical High $28.84 | Professional | TC · Technical part | $0.60 | $18.20 | $28.84 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $0.71 Median $0.71 Typical High $38.02 | Professional | None (both parts) | $0.71 | $0.71 | $38.02 |
Select Health Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $4,265.80 | Facility | None | $25.12 | $25.12 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $15.49 Median $15.49 Typical High $25.12 | Professional | None (both parts) | $15.49 | $15.49 | $25.12 |
United Setting Professional Modifier None (both parts) Typical Low $25.12 Median $36.31 Typical High $63.10 | Professional | None (both parts) | $25.12 | $36.31 | $63.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $9.33 Typical High $12.59 | Professional | 26 · Professional part | $6.92 | $9.33 | $12.59 |
United Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $31.62 Typical High $47.86 | Professional | TC · Technical part | $18.20 | $31.62 | $47.86 |
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 $13.18 Median $13.18 Typical High $15.14 | Professional | 52 · Reduced service | $13.18 | $13.18 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $5.25 Typical High $6.03 | Professional | 53 · Discontinued | $5.25 | $5.25 | $6.03 |
Where Nevada sits
The same service costs 2.7 times more in Minnesota than in Maryland. 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· 42nd of 51
$30.90
MN $69.18MD $25.70
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.