How much rates vary
Facilitymedian $9,550 · 10th to 90th $2,239 to $20,893Professionalmedian $363 · 10th to 90th $288 to $617
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 $371.54 Median $9,772.37 Typical High $26,915.35 | Facility | None | $371.54 | $9,772.37 | $26,915.35 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $10,715.19 | Professional | None (both parts) | $323.59 | $323.59 | $10,715.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $257.04 Typical High $288.40 | Professional | 26 · Professional part | $257.04 | $257.04 | $288.40 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $79.43 | Professional | TC · Technical part | $69.18 | $69.18 | $79.43 |
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 $302.00 Median $363.08 Typical High $660.69 | Professional | None (both parts) | $302.00 | $363.08 | $660.69 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $281.84 Typical High $524.81 | Professional | 26 · Professional part | $234.42 | $281.84 | $524.81 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $79.43 Typical High $147.91 | Professional | TC · Technical part | $66.07 | $79.43 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $8,511.38 Median $8,511.38 Typical High $9,549.93 | Facility | None | $8,511.38 | $8,511.38 | $9,549.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $524.81 | Professional | None (both parts) | $288.40 | $288.40 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $223.87 Typical High $398.11 | Professional | 26 · Professional part | $223.87 | $223.87 | $398.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $117.49 | Professional | TC · Technical part | $64.57 | $64.57 | $117.49 |
Hometown Health Setting Professional Modifier None Typical Low $4.47 Median $7.24 Typical High $14,791.08 | Professional | None | $4.47 | $7.24 | $14,791.08 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $4.47 Median $4.47 Typical High $4.47 | Professional | None (both parts) | $4.47 | $4.47 | $4.47 |
Select Health Setting Facility Modifier None Typical Low $457.09 Median $3,548.13 Typical High $4,265.80 | Facility | None | $457.09 | $3,548.13 | $4,265.80 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $3,019.95 Typical High $28,840.32 | Facility | None | $1,905.46 | $3,019.95 | $28,840.32 |
United Setting Professional Modifier None (both parts) Typical Low $323.59 Median $416.87 Typical High $602.56 | Professional | None (both parts) | $323.59 | $416.87 | $602.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $323.59 Typical High $457.09 | Professional | 26 · Professional part | $234.42 | $323.59 | $457.09 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $102.33 Typical High $165.96 | Professional | TC · Technical part | $77.62 | $102.33 | $165.96 |
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 $162.18 Median $162.18 Typical High $186.21 | Professional | 52 · Reduced service | $162.18 | $162.18 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $64.57 Typical High $74.13 | Professional | 53 · Discontinued | $64.57 | $64.57 | $74.13 |
Where Nevada sits
The same service costs 9.5 times more in Louisiana than in New York. 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
$646
LA $3,090NY $324
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.