How much rates vary
Facilitymedian $7,586 · 10th to 90th $525 to $19,498Professionalmedian $234 · 10th to 90th $166 to $380
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 $2,137.96 Median $5,495.41 Typical High $16,595.87 | Facility | None | $2,137.96 | $5,495.41 | $16,595.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $8,128.31 | Professional | None (both parts) | $204.17 | $204.17 | $8,128.31 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $125.89 Typical High $141.25 | Professional | 26 · Professional part | $125.89 | $125.89 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $81.28 Typical High $93.33 | Professional | TC · Technical part | $81.28 | $81.28 | $93.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $7,413.10 Median $16,595.87 Typical High $20,892.96 | Facility | None | $7,413.10 | $16,595.87 | $20,892.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $190.55 Median $234.42 Typical High $426.58 | Professional | None (both parts) | $190.55 | $234.42 | $426.58 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $138.04 Typical High $257.04 | Professional | 26 · Professional part | $114.82 | $138.04 | $257.04 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $93.33 Typical High $169.82 | Professional | TC · Technical part | $77.62 | $93.33 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $10,471.29 Median $11,481.54 Typical High $12,022.64 | Facility | None | $10,471.29 | $11,481.54 | $12,022.64 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $173.78 Typical High $309.03 | Professional | None (both parts) | $165.96 | $173.78 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $107.15 Typical High $186.21 | Professional | 26 · Professional part | $97.72 | $107.15 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $67.61 Typical High $123.03 | Professional | TC · Technical part | $64.57 | $67.61 | $123.03 |
Hometown Health Setting Professional Modifier None Typical Low $3.24 Median $107.15 Typical High $323.59 | Professional | None | $3.24 | $107.15 | $323.59 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $3.24 Median $3.24 Typical High $3.24 | Professional | None (both parts) | $3.24 | $3.24 | $3.24 |
Select Health Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $4,265.80 | Facility | None | $117.49 | $117.49 | $4,265.80 |
United Setting Facility Modifier None Typical Low $467.74 Median $776.25 Typical High $19,498.45 | Facility | None | $467.74 | $776.25 | $19,498.45 |
United Setting Professional Modifier None (both parts) Typical Low $181.97 Median $245.47 Typical High $354.81 | Professional | None (both parts) | $181.97 | $245.47 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $141.25 Typical High $218.78 | Professional | 26 · Professional part | $104.71 | $141.25 | $218.78 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $100.00 Typical High $162.18 | Professional | TC · Technical part | $77.62 | $100.00 | $162.18 |
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 $102.33 Median $102.33 Typical High $117.49 | Professional | 52 · Reduced service | $102.33 | $102.33 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $40.74 Typical High $46.77 | Professional | 53 · Discontinued | $40.74 | $40.74 | $46.77 |
Where Nevada sits
The same service costs 30.2 times more in Oklahoma than in Hawaii. 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· 15th of 51
$427
OK $4,786HI $158
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.