How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $199.53 Median $11,748.98 Typical High $16,218.10 | Facility | None | $199.53 | $11,748.98 | $16,218.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $229.09 | Professional | None (both parts) | $199.53 | $199.53 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $147.91 Typical High $165.96 | Professional | 26 · Professional part | $147.91 | $147.91 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $52.48 Typical High $60.26 | Professional | TC · Technical part | $52.48 | $52.48 | $60.26 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $186.21 Median $229.09 Typical High $380.19 | Professional | None (both parts) | $186.21 | $229.09 | $380.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $169.82 Typical High $269.15 | Professional | 26 · Professional part | $138.04 | $169.82 | $269.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $61.66 Typical High $104.71 | Professional | TC · Technical part | $50.12 | $61.66 | $104.71 |
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 $208.93 Median $251.19 Typical High $371.54 | Professional | None (both parts) | $208.93 | $251.19 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $169.82 Typical High $269.15 | Professional | 26 · Professional part | $154.88 | $169.82 | $269.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $87.10 Typical High $117.49 | Professional | TC · Technical part | $57.54 | $87.10 | $117.49 |
Hometown Health Setting Professional Modifier None Typical Low $4.57 Median $281.84 Typical High $323.59 | Professional | None | $4.57 | $281.84 | $323.59 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $4.57 Median $177.83 Typical High $213.80 | Professional | 26 · Professional part | $4.57 | $177.83 | $213.80 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $4.57 Median $89.13 Typical High $107.15 | Professional | TC · Technical part | $4.57 | $89.13 | $107.15 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $4.57 Median $4.57 Typical High $281.84 | Professional | None (both parts) | $4.57 | $4.57 | $281.84 |
Select Health Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $4,265.80 | Facility | None | $190.55 | $190.55 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $117.49 Median $169.82 Typical High $218.78 | Professional | None (both parts) | $117.49 | $169.82 | $218.78 |
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 $190.55 Median $251.19 Typical High $389.05 | Professional | None (both parts) | $190.55 | $251.19 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $199.53 Typical High $288.40 | Professional | 26 · Professional part | $138.04 | $199.53 | $288.40 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $100.00 Typical High $147.91 | Professional | TC · Technical part | $47.86 | $100.00 | $147.91 |
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 $100.00 Median $100.00 Typical High $114.82 | Professional | 52 · Reduced service | $100.00 | $100.00 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $45.71 | Professional | 53 · Discontinued | $39.81 | $39.81 | $45.71 |
Where Nevada sits
The same service costs 3.5 times more in Alaska than in Utah. 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· 37th of 51
$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.