How much rates vary
Facilitymedian $10,000 · 10th to 90th $132 to $20,893Professionalmedian $178 · 10th to 90th $123 to $2,344
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 $7,585.78 Typical High $24,547.09 | Facility | None | $2,137.96 | $7,585.78 | $24,547.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $151.36 Typical High $8,128.31 | Professional | None (both parts) | $131.83 | $151.36 | $8,128.31 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $107.15 Typical High $131.83 | Professional | 26 · Professional part | $100.00 | $107.15 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $37.15 Typical High $43.65 | Professional | TC · Technical part | $32.36 | $37.15 | $43.65 |
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 $123.03 Median $165.96 Typical High $338.84 | Professional | None (both parts) | $123.03 | $165.96 | $338.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $117.49 Typical High $251.19 | Professional | 26 · Professional part | $91.20 | $117.49 | $251.19 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $38.02 Typical High $85.11 | Professional | TC · Technical part | $30.90 | $38.02 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $10,471.29 Median $10,471.29 Typical High $11,481.54 | Facility | None | $10,471.29 | $10,471.29 | $11,481.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $177.83 Typical High $1,174.90 | Professional | None (both parts) | $131.83 | $177.83 | $1,174.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $120.23 Typical High $645.65 | Professional | 26 · Professional part | $97.72 | $120.23 | $645.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $40.74 Typical High $537.03 | Professional | TC · Technical part | $33.11 | $40.74 | $537.03 |
Hometown Health Setting Professional Modifier None Typical Low $16.60 Median $954.99 Typical High $1,659.59 | Professional | None | $16.60 | $954.99 | $1,659.59 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | None (both parts) | $16.60 | $16.60 | $16.60 |
Select Health Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $4,265.80 | Facility | None | $218.78 | $218.78 | $4,265.80 |
United Setting Facility Modifier None Typical Low $97.72 Median $245.47 Typical High $19,498.45 | Facility | None | $97.72 | $245.47 | $19,498.45 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $1,000.00 Typical High $2,951.21 | Professional | None (both parts) | $158.49 | $1,000.00 | $2,951.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $141.25 Typical High $223.87 | Professional | 26 · Professional part | $97.72 | $141.25 | $223.87 |
United Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $61.66 Typical High $3,019.95 | Professional | TC · Technical part | $33.11 | $61.66 | $3,019.95 |
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 $66.07 Median $66.07 Typical High $75.86 | Professional | 52 · Reduced service | $66.07 | $66.07 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $30.20 | Professional | 53 · Discontinued | $26.30 | $26.30 | $30.20 |
Where Nevada sits
The same service costs 18.6 times more in Tennessee than in South Carolina. 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· 7th of 51
$457
TN $2,344SC $126
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.