How much rates vary
Facilitymedian $7,586 · 10th to 90th $1,047 to $16,218Professionalmedian $617 · 10th to 90th $501 to $933
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 $616.60 Median $616.60 Typical High $691.83 | Professional | None (both parts) | $616.60 | $616.60 | $691.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $331.13 Typical High $371.54 | Professional | 26 · Professional part | $331.13 | $331.13 | $371.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $281.84 Typical High $323.59 | Professional | TC · Technical part | $281.84 | $281.84 | $323.59 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | 26 · Professional part | $251.19 | $251.19 | $251.19 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $575.44 Median $691.83 Typical High $1,071.52 | Professional | None (both parts) | $575.44 | $691.83 | $1,071.52 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $363.08 Typical High $562.34 | Professional | 26 · Professional part | $295.12 | $363.08 | $562.34 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $323.59 Typical High $501.19 | Professional | TC · Technical part | $269.15 | $323.59 | $501.19 |
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 $524.81 Median $549.54 Typical High $977.24 | Professional | None (both parts) | $524.81 | $549.54 | $977.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $302.00 Typical High $512.86 | Professional | 26 · Professional part | $275.42 | $302.00 | $512.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $251.19 Typical High $446.68 | Professional | TC · Technical part | $234.42 | $251.19 | $446.68 |
Hometown Health Setting Professional Modifier None Typical Low $8.91 Median $316.23 Typical High $371.54 | Professional | None | $8.91 | $316.23 | $371.54 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $302.00 Typical High $467.74 | Professional | 26 · Professional part | $6.31 | $302.00 | $467.74 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $2.75 Median $15.49 Typical High $18.20 | Professional | TC · Technical part | $2.75 | $15.49 | $18.20 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | None (both parts) | $8.91 | $8.91 | $8.91 |
Select Health Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $4,265.80 | Facility | None | $316.23 | $316.23 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $269.15 Median $316.23 Typical High $316.23 | Professional | None (both parts) | $269.15 | $316.23 | $316.23 |
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 $562.34 Median $630.96 Typical High $954.99 | Professional | None (both parts) | $562.34 | $630.96 | $954.99 |
United Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $331.13 Typical High $512.86 | Professional | 26 · Professional part | $275.42 | $331.13 | $512.86 |
United Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $323.59 Typical High $575.44 | Professional | TC · Technical part | $263.03 | $323.59 | $575.44 |
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 $309.03 Median $309.03 Typical High $346.74 | Professional | 52 · Reduced service | $309.03 | $309.03 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $123.03 Typical High $141.25 | Professional | 53 · Discontinued | $123.03 | $123.03 | $141.25 |
Where Nevada sits
The same service costs 3.0 times more in Alaska 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· 38th of 51
$631
AK $1,288HI $437
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.