How much rates vary
Facilitymedian $417 · 10th to 90th $200 to $1,413Professionalmedian $214 · 10th to 90th $162 to $331
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 $218.78 Typical High $831.76 | Facility | None | $199.53 | $218.78 | $831.76 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $199.53 Typical High $263.03 | Professional | None (both parts) | $190.55 | $199.53 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $40.74 Typical High $47.86 | Professional | 26 · Professional part | $31.62 | $40.74 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $158.49 Typical High $218.78 | Professional | TC · Technical part | $158.49 | $158.49 | $218.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $151.36 Median $162.18 Typical High $239.88 | Professional | None (both parts) | $151.36 | $162.18 | $239.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $29.51 Typical High $57.54 | Professional | 26 · Professional part | $29.51 | $29.51 | $57.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $426.58 | Professional | None (both parts) | $199.53 | $199.53 | $426.58 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $85.11 | Professional | 26 · Professional part | $39.81 | $39.81 | $85.11 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $158.49 Typical High $338.84 | Professional | TC · Technical part | $158.49 | $158.49 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $457.09 Typical High $1,412.54 | Facility | None | $346.74 | $457.09 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $218.78 Typical High $346.74 | Professional | None (both parts) | $186.21 | $218.78 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $38.90 Typical High $63.10 | Professional | 26 · Professional part | $24.55 | $38.90 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $190.55 Typical High $295.12 | Professional | TC · Technical part | $151.36 | $190.55 | $295.12 |
Hometown Health Setting Professional Modifier None Typical Low $3.80 Median $194.98 Typical High $302.00 | Professional | None | $3.80 | $194.98 | $302.00 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.89 Median $33.88 Typical High $58.88 | Professional | 26 · Professional part | $0.89 | $33.88 | $58.88 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $2.88 Median $158.49 Typical High $239.88 | Professional | TC · Technical part | $2.88 | $158.49 | $239.88 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $3.80 Median $3.80 Typical High $281.84 | Professional | None (both parts) | $3.80 | $3.80 | $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 $117.49 Typical High $190.55 | Professional | None (both parts) | $117.49 | $117.49 | $190.55 |
United Setting Professional Modifier None (both parts) Typical Low $186.21 Median $245.47 Typical High $338.84 | Professional | None (both parts) | $186.21 | $245.47 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $38.90 Typical High $63.10 | Professional | 26 · Professional part | $29.51 | $38.90 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $229.09 Typical High $323.59 | Professional | TC · Technical part | $151.36 | $229.09 | $323.59 |
3 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 $107.15 | Professional | 52 · Reduced service | $100.00 | $100.00 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $43.65 | Professional | 53 · Discontinued | $39.81 | $39.81 | $43.65 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $151.36 Median $151.36 Typical High $162.18 | Professional | 59 · Distinct service | $151.36 | $151.36 | $162.18 |
Where Nevada sits
The same service costs 3.2 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· 36th of 51
$214
MN $501UT $158
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.