How much rates vary
Facilitymedian $28 · 10th to 90th $24 to $4,266Professionalmedian $29 · 10th to 90th $22 to $117
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 $24.55 Median $28.18 Typical High $186.21 | Facility | None | $24.55 | $28.18 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $24.55 Typical High $40.74 | Professional | None (both parts) | $24.55 | $24.55 | $40.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $3.16 Median $3.16 Typical High $4.17 | Professional | 26 · Professional part | $3.16 | $3.16 | $4.17 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $21.38 Typical High $38.90 | Professional | TC · Technical part | $21.38 | $21.38 | $38.90 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | None (both parts) | $19.05 | $19.05 | $19.05 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $2.69 Median $2.69 Typical High $3.16 | Professional | 26 · Professional part | $2.69 | $2.69 | $3.16 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $23.44 Median $26.92 Typical High $53.70 | Professional | None (both parts) | $23.44 | $26.92 | $53.70 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $3.02 Median $3.47 Typical High $6.61 | Professional | 26 · Professional part | $3.02 | $3.47 | $6.61 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $23.99 Typical High $46.77 | Professional | TC · Technical part | $20.42 | $23.99 | $46.77 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $38.02 Typical High $141.25 | Professional | None (both parts) | $23.99 | $38.02 | $141.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $3.09 Median $4.27 Typical High $5.62 | Professional | 26 · Professional part | $3.09 | $4.27 | $5.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $33.88 Typical High $134.90 | Professional | TC · Technical part | $20.89 | $33.88 | $134.90 |
Hometown Health Setting Professional Modifier None Typical Low $1.17 Median $22.39 Typical High $38.02 | Professional | None | $1.17 | $22.39 | $38.02 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.40 Median $3.55 Typical High $5.37 | Professional | 26 · Professional part | $0.40 | $3.55 | $5.37 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.78 Median $18.20 Typical High $32.36 | Professional | TC · Technical part | $0.78 | $18.20 | $32.36 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $1.17 Median $1.17 Typical High $35.48 | Professional | None (both parts) | $1.17 | $1.17 | $35.48 |
Select Health Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $4,265.80 | Facility | None | $23.99 | $23.99 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $14.45 Median $14.45 Typical High $23.99 | Professional | None (both parts) | $14.45 | $14.45 | $23.99 |
United Setting Professional Modifier None (both parts) Typical Low $23.99 Median $34.67 Typical High $128.82 | Professional | None (both parts) | $23.99 | $34.67 | $128.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $3.09 Median $4.27 Typical High $5.75 | Professional | 26 · Professional part | $3.09 | $4.27 | $5.75 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $36.31 Typical High $104.71 | Professional | TC · Technical part | $20.89 | $36.31 | $104.71 |
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 $12.30 Median $12.30 Typical High $14.13 | Professional | 52 · Reduced service | $12.30 | $12.30 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $4.90 Typical High $5.62 | Professional | 53 · Discontinued | $4.90 | $4.90 | $5.62 |
Where Nevada sits
The same service costs 2.9 times more in Kansas 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
$28.84
KS $74.13MD $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.