How much rates vary
Facilitymedian $10,000 · 10th to 90th $141 to $20,893Professionalmedian $288 · 10th to 90th $195 to $2,291
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 $223.87 Median $239.88 Typical High $8,128.31 | Professional | None (both parts) | $223.87 | $239.88 | $8,128.31 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $181.97 Typical High $208.93 | Professional | 26 · Professional part | $162.18 | $181.97 | $208.93 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $67.61 | Professional | TC · Technical part | $58.88 | $58.88 | $67.61 |
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 $223.87 Median $269.15 Typical High $489.78 | Professional | None (both parts) | $223.87 | $269.15 | $489.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $204.17 Typical High $371.54 | Professional | 26 · Professional part | $165.96 | $204.17 | $371.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $67.61 Typical High $123.03 | Professional | TC · Technical part | $54.95 | $67.61 | $123.03 |
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 $194.98 Median $288.40 Typical High $1,202.26 | Professional | None (both parts) | $194.98 | $288.40 | $1,202.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $194.98 Typical High $645.65 | Professional | 26 · Professional part | $144.54 | $194.98 | $645.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $66.07 Typical High $537.03 | Professional | TC · Technical part | $48.98 | $66.07 | $537.03 |
Hometown Health Setting Professional Modifier None Typical Low $16.60 Median $1,000.00 Typical High $1,659.59 | Professional | None | $16.60 | $1,000.00 | $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 $1,230.27 Median $1,230.27 Typical High $4,265.80 | Facility | None | $1,230.27 | $1,230.27 | $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 $239.88 Median $1,000.00 Typical High $2,951.21 | Professional | None (both parts) | $239.88 | $1,000.00 | $2,951.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $245.47 Typical High $323.59 | Professional | 26 · Professional part | $173.78 | $245.47 | $323.59 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $95.50 Typical High $2,691.53 | Professional | TC · Technical part | $57.54 | $95.50 | $2,691.53 |
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 $120.23 Median $120.23 Typical High $138.04 | Professional | 52 · Reduced service | $120.23 | $120.23 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $47.86 Typical High $54.95 | Professional | 53 · Discontinued | $47.86 | $47.86 | $54.95 |
Where Nevada sits
The same service costs 4.6 times more in Wisconsin 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· 9th of 51
$490
WI $1,047MD $229
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.