How much rates vary
Facilitymedian $7,586 · 10th to 90th $1,047 to $16,218Professionalmedian $490 · 10th to 90th $347 to $741
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 $16,218.10 | Facility | None | $2,137.96 | $5,495.41 | $16,218.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $467.74 Median $467.74 Typical High $524.81 | Professional | None (both parts) | $467.74 | $467.74 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $190.55 Typical High $213.80 | Professional | 26 · Professional part | $190.55 | $190.55 | $213.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $275.42 Typical High $316.23 | Professional | TC · Technical part | $275.42 | $275.42 | $316.23 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $371.54 Median $524.81 Typical High $812.83 | Professional | None (both parts) | $371.54 | $524.81 | $812.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $208.93 Typical High $323.59 | Professional | 26 · Professional part | $169.82 | $208.93 | $323.59 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $316.23 Typical High $524.81 | Professional | TC · Technical part | $263.03 | $316.23 | $524.81 |
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 $416.87 Median $416.87 Typical High $758.58 | Professional | None (both parts) | $416.87 | $416.87 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $177.83 Typical High $302.00 | Professional | 26 · Professional part | $162.18 | $177.83 | $302.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $251.19 Typical High $457.09 | Professional | TC · Technical part | $234.42 | $251.19 | $457.09 |
Hometown Health Setting Professional Modifier None Typical Low $7.08 Median $194.98 Typical High $229.09 | Professional | None | $7.08 | $194.98 | $229.09 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $3.47 Median $177.83 Typical High $269.15 | Professional | 26 · Professional part | $3.47 | $177.83 | $269.15 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $3.47 Median $15.49 Typical High $18.20 | Professional | TC · Technical part | $3.47 | $15.49 | $18.20 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | None (both parts) | $7.08 | $7.08 | $7.08 |
Select Health Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $4,265.80 | Facility | None | $186.21 | $186.21 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $158.49 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $158.49 | $186.21 | $186.21 |
United Setting Facility Modifier None Typical Low $478.63 Median $1,995.26 Typical High $34,673.69 | Facility | None | $478.63 | $1,995.26 | $34,673.69 |
United Setting Professional Modifier None (both parts) Typical Low $436.52 Median $562.34 Typical High $758.58 | Professional | None (both parts) | $436.52 | $562.34 | $758.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $194.98 Typical High $302.00 | Professional | 26 · Professional part | $158.49 | $194.98 | $302.00 |
United Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $323.59 Typical High $562.34 | Professional | TC · Technical part | $263.03 | $323.59 | $562.34 |
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 $234.42 Median $234.42 Typical High $263.03 | Professional | 52 · Reduced service | $234.42 | $234.42 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $93.33 Typical High $104.71 | Professional | 53 · Discontinued | $93.33 | $93.33 | $104.71 |
Where Nevada sits
The same service costs 3.0 times more in Wisconsin than in North 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· 36th of 51
$501
WI $1,000NC $331
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.