How much rates vary
Facilitymedian $295 · 10th to 90th $49 to $4,266Professionalmedian $316 · 10th to 90th $240 to $468
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 $295.12 Median $295.12 Typical High $316.23 | Facility | None | $295.12 | $295.12 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $316.23 | Professional | None (both parts) | $295.12 | $295.12 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $245.47 Typical High $263.03 | Professional | 26 · Professional part | $245.47 | $245.47 | $263.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $47.86 Typical High $51.29 | Professional | TC · Technical part | $47.86 | $47.86 | $51.29 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $275.42 Median $338.84 Typical High $524.81 | Professional | None (both parts) | $275.42 | $338.84 | $524.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $281.84 Typical High $436.52 | Professional | 26 · Professional part | $229.09 | $281.84 | $436.52 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $56.23 Typical High $66.07 | Professional | TC · Technical part | $38.90 | $56.23 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $338.84 Typical High $512.86 | Professional | None (both parts) | $229.09 | $338.84 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $229.09 Typical High $380.19 | Professional | 26 · Professional part | $199.53 | $229.09 | $380.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $51.29 Typical High $128.82 | Professional | TC · Technical part | $31.62 | $51.29 | $128.82 |
Hometown Health Setting Professional Modifier None Typical Low $5.25 Median $257.04 Typical High $416.87 | Professional | None | $5.25 | $257.04 | $416.87 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $3.47 Median $229.09 Typical High $346.74 | Professional | 26 · Professional part | $3.47 | $229.09 | $346.74 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $1.74 Median $28.84 Typical High $69.18 | Professional | TC · Technical part | $1.74 | $28.84 | $69.18 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $5.25 Median $5.25 Typical High $416.87 | Professional | None (both parts) | $5.25 | $5.25 | $416.87 |
Select Health Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $4,265.80 | Facility | None | $275.42 | $275.42 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $173.78 Median $251.19 Typical High $323.59 | Professional | None (both parts) | $173.78 | $251.19 | $323.59 |
United Setting Professional Modifier None (both parts) Typical Low $263.03 Median $346.74 Typical High $489.78 | Professional | None (both parts) | $263.03 | $346.74 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $263.03 Typical High $398.11 | Professional | 26 · Professional part | $208.93 | $263.03 | $398.11 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $72.44 Typical High $131.83 | Professional | TC · Technical part | $34.67 | $72.44 | $131.83 |
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 $147.91 Median $147.91 Typical High $158.49 | Professional | 52 · Reduced service | $147.91 | $147.91 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $58.88 Typical High $63.10 | Professional | 53 · Discontinued | $58.88 | $58.88 | $63.10 |
Where Nevada sits
The same service costs 3.3 times more in Minnesota 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· 35th of 51
$316
MN $661UT $200
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.