How much rates vary
Facilitymedian $457 · 10th to 90th $282 to $1,413Professionalmedian $282 · 10th to 90th $214 to $447
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 $281.84 Median $281.84 Typical High $302.00 | Facility | None | $281.84 | $281.84 | $302.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $281.84 Typical High $316.23 | Professional | None (both parts) | $218.78 | $281.84 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $47.86 Typical High $52.48 | Professional | 26 · Professional part | $43.65 | $47.86 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $234.42 Typical High $263.03 | Professional | TC · Technical part | $177.83 | $234.42 | $263.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None (both parts) | $213.80 | $213.80 | $213.80 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $575.44 | Professional | None (both parts) | $281.84 | $281.84 | $575.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $100.00 | Professional | 26 · Professional part | $46.77 | $46.77 | $100.00 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $234.42 Typical High $478.63 | Professional | TC · Technical part | $234.42 | $234.42 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $457.09 Typical High $1,412.54 | Facility | None | $416.87 | $457.09 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $302.00 Typical High $478.63 | Professional | None (both parts) | $263.03 | $302.00 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $54.95 Typical High $79.43 | Professional | 26 · Professional part | $38.02 | $54.95 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $263.03 Typical High $407.38 | Professional | TC · Technical part | $199.53 | $263.03 | $407.38 |
Hometown Health Setting Professional Modifier None Typical Low $4.37 Median $223.87 Typical High $426.58 | Professional | None | $4.37 | $223.87 | $426.58 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $1.07 Median $50.12 Typical High $74.13 | Professional | 26 · Professional part | $1.07 | $50.12 | $74.13 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $3.24 Median $169.82 Typical High $363.08 | Professional | TC · Technical part | $3.24 | $169.82 | $363.08 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $4.37 Median $4.37 Typical High $407.38 | Professional | None (both parts) | $4.37 | $4.37 | $407.38 |
Select Health Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $4,265.80 | Facility | None | $269.15 | $269.15 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $269.15 | Professional | None (both parts) | $162.18 | $162.18 | $269.15 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $323.59 Typical High $446.68 | Professional | None (both parts) | $234.42 | $323.59 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $54.95 Typical High $81.28 | Professional | 26 · Professional part | $43.65 | $54.95 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $295.12 Typical High $416.87 | Professional | TC · Technical part | $213.80 | $295.12 | $416.87 |
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 $141.25 Median $141.25 Typical High $151.36 | Professional | 52 · Reduced service | $141.25 | $141.25 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $60.26 | Professional | 53 · Discontinued | $56.23 | $56.23 | $60.26 |
Where Nevada sits
The same service costs 3.0 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· 38th of 51
$282
AK $646UT $214
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.