How much rates vary
Facilitymedian $331 · 10th to 90th $100 to $13,183Professionalmedian $155 · 10th to 90th $110 to $263
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 $117.49 Median $117.49 Typical High $134.90 | Facility | None | $117.49 | $117.49 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $173.78 | Professional | None (both parts) | $117.49 | $117.49 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $64.57 Typical High $89.13 | Professional | 26 · Professional part | $56.23 | $64.57 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $61.66 Typical High $93.33 | Professional | TC · Technical part | $61.66 | $61.66 | $93.33 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $109.65 Median $141.25 Typical High $354.81 | Professional | None (both parts) | $109.65 | $141.25 | $354.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $66.07 Typical High $165.96 | Professional | 26 · Professional part | $51.29 | $66.07 | $165.96 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $74.13 Typical High $186.21 | Professional | TC · Technical part | $58.88 | $74.13 | $186.21 |
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 $131.83 Median $141.25 Typical High $218.78 | Professional | None (both parts) | $131.83 | $141.25 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $67.61 Typical High $102.33 | Professional | 26 · Professional part | $60.26 | $67.61 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $74.13 Typical High $120.23 | Professional | TC · Technical part | $70.79 | $74.13 | $120.23 |
Hometown Health Setting Professional Modifier None Typical Low $2.51 Median $2.51 Typical High $251.19 | Professional | None | $2.51 | $2.51 | $251.19 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $2.51 Median $2.51 Typical High $2.51 | Professional | None (both parts) | $2.51 | $2.51 | $2.51 |
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 |
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 $147.91 Median $199.53 Typical High $275.42 | Professional | None (both parts) | $147.91 | $199.53 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $75.86 Typical High $107.15 | Professional | 26 · Professional part | $53.70 | $75.86 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $117.49 Typical High $186.21 | Professional | TC · Technical part | $89.13 | $117.49 | $186.21 |
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 $58.88 Median $58.88 Typical High $67.61 | Professional | 52 · Reduced service | $58.88 | $58.88 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.44 Typical High $26.92 | Professional | 53 · Discontinued | $23.44 | $23.44 | $26.92 |
Where Nevada sits
The same service costs 3.8 times more in Wisconsin than in Virginia. 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· 36th of 51
$170
WI $417VA $110
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.