How much rates vary
Facilitymedian $204 · 10th to 90th $132 to $676Professionalmedian $145 · 10th to 90th $123 to $224
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 $131.83 Median $131.83 Typical High $141.25 | Facility | None | $131.83 | $131.83 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $190.55 | Professional | None (both parts) | $131.83 | $131.83 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $25.70 Typical High $28.18 | Professional | 26 · Professional part | $20.89 | $25.70 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $104.71 Typical High $169.82 | Professional | TC · Technical part | $104.71 | $104.71 | $169.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None (both parts) | $100.00 | $100.00 | $100.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $269.15 | Professional | None (both parts) | $131.83 | $131.83 | $269.15 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.12 Typical High $53.70 | Professional | 26 · Professional part | $25.12 | $25.12 | $53.70 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $104.71 Typical High $218.78 | Professional | TC · Technical part | $104.71 | $104.71 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $204.17 Typical High $676.08 | Facility | None | $181.97 | $204.17 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $151.36 Typical High $234.42 | Professional | None (both parts) | $125.89 | $151.36 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $26.30 Typical High $39.81 | Professional | 26 · Professional part | $16.60 | $26.30 | $39.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $134.90 Typical High $194.98 | Professional | TC · Technical part | $102.33 | $134.90 | $194.98 |
Hometown Health Setting Professional Modifier None Typical Low $2.14 Median $154.88 Typical High $213.80 | Professional | None | $2.14 | $154.88 | $213.80 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.81 Median $21.38 Typical High $37.15 | Professional | 26 · Professional part | $0.81 | $21.38 | $37.15 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $1.35 Median $134.90 Typical High $181.97 | Professional | TC · Technical part | $1.35 | $134.90 | $181.97 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $2.14 Median $2.14 Typical High $186.21 | Professional | None (both parts) | $2.14 | $2.14 | $186.21 |
Select Health Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $4,265.80 | Facility | None | $123.03 | $123.03 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $123.03 | Professional | None (both parts) | $77.62 | $77.62 | $123.03 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $162.18 Typical High $223.87 | Professional | None (both parts) | $123.03 | $162.18 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $25.70 Typical High $40.74 | Professional | 26 · Professional part | $19.95 | $25.70 | $40.74 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $151.36 Typical High $213.80 | Professional | TC · Technical part | $97.72 | $151.36 | $213.80 |
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 $66.07 Median $66.07 Typical High $70.79 | Professional | 52 · Reduced service | $66.07 | $66.07 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $28.18 | Professional | 53 · Discontinued | $26.30 | $26.30 | $28.18 |
Where Nevada sits
The same service costs 3.3 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· 40th of 51
$145
AK $316UT $95.50
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.