How much rates vary
Facilitymedian $324 · 10th to 90th $100 to $13,183Professionalmedian $269 · 10th to 90th $204 to $447
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $213.80 Median $213.80 Typical High $245.47 | Facility | None | $213.80 | $213.80 | $245.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $245.47 Typical High $346.74 | Professional | None (both parts) | $213.80 | $245.47 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $87.10 Typical High $141.25 | Professional | 26 · Professional part | $75.86 | $87.10 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $158.49 Typical High $234.42 | Professional | TC · Technical part | $138.04 | $158.49 | $234.42 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $85.11 Typical High $85.11 | Professional | 26 · Professional part | $20.89 | $85.11 | $85.11 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $199.53 Median $251.19 Typical High $588.84 | Professional | None (both parts) | $199.53 | $251.19 | $588.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $87.10 Typical High $204.17 | Professional | 26 · Professional part | $70.79 | $87.10 | $204.17 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $162.18 Typical High $380.19 | Professional | TC · Technical part | $131.83 | $162.18 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $13,182.57 Median $13,182.57 Typical High $14,791.08 | Facility | None | $13,182.57 | $13,182.57 | $14,791.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $229.09 Typical High $380.19 | Professional | None (both parts) | $218.78 | $229.09 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $81.28 Typical High $131.83 | Professional | 26 · Professional part | $74.13 | $81.28 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $147.91 Typical High $251.19 | Professional | TC · Technical part | $144.54 | $147.91 | $251.19 |
Hometown Health Setting Professional Modifier None Typical Low $2.69 Median $4.90 Typical High $302.00 | Professional | None | $2.69 | $4.90 | $302.00 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $2.69 Median $2.69 Typical High $2.69 | Professional | None (both parts) | $2.69 | $2.69 | $2.69 |
Select Health Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $4,265.80 | Facility | None | $302.00 | $302.00 | $4,265.80 |
United Setting Facility Modifier None Typical Low $97.72 Median $234.42 Typical High $1,949.84 | Facility | None | $97.72 | $234.42 | $1,949.84 |
United Setting Professional Modifier None (both parts) Typical Low $229.09 Median $288.40 Typical High $478.63 | Professional | None (both parts) | $229.09 | $288.40 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $104.71 Typical High $147.91 | Professional | 26 · Professional part | $74.13 | $104.71 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $229.09 Typical High $371.54 | Professional | TC · Technical part | $177.83 | $229.09 | $371.54 |
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 $107.15 Median $107.15 Typical High $123.03 | Professional | 52 · Reduced service | $107.15 | $107.15 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $42.66 Typical High $48.98 | Professional | 53 · Discontinued | $42.66 | $42.66 | $48.98 |
Where Nevada sits
The same service costs 4.3 times more in Wisconsin than in Oregon. 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
$269
WI $776OR $182
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.