How much rates vary
Facilitymedian $224 · 10th to 90th $85 to $692Professionalmedian $87 · 10th to 90th $71 to $158
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 $85.11 Median $85.11 Typical High $93.33 | Facility | None | $85.11 | $85.11 | $93.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $131.83 | Professional | None (both parts) | $85.11 | $85.11 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $12.88 Typical High $15.49 | Professional | 26 · Professional part | $11.48 | $12.88 | $15.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $125.89 | Professional | TC · Technical part | $72.44 | $72.44 | $125.89 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $70.79 | Professional | None (both parts) | $66.07 | $66.07 | $70.79 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $186.21 | Professional | None (both parts) | $85.11 | $85.11 | $186.21 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $12.59 Typical High $26.92 | Professional | 26 · Professional part | $12.59 | $12.59 | $26.92 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $158.49 | Professional | TC · Technical part | $72.44 | $72.44 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $245.47 Typical High $691.83 | Facility | None | $158.49 | $245.47 | $691.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $93.33 Typical High $158.49 | Professional | None (both parts) | $74.13 | $93.33 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $14.79 Typical High $21.88 | Professional | 26 · Professional part | $9.77 | $14.79 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $81.28 Typical High $134.90 | Professional | TC · Technical part | $56.23 | $81.28 | $134.90 |
Hometown Health Setting Professional Modifier None Typical Low $1.82 Median $89.13 Typical High $134.90 | Professional | None | $1.82 | $89.13 | $134.90 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $1.05 Median $12.02 Typical High $18.62 | Professional | 26 · Professional part | $1.05 | $12.02 | $18.62 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.78 Median $77.62 Typical High $117.49 | Professional | TC · Technical part | $0.78 | $77.62 | $117.49 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $1.82 Median $1.82 Typical High $123.03 | Professional | None (both parts) | $1.82 | $1.82 | $123.03 |
Select Health Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $4,265.80 | Facility | None | $83.18 | $83.18 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $83.18 | Professional | None (both parts) | $51.29 | $51.29 | $83.18 |
United Setting Professional Modifier None (both parts) Typical Low $74.13 Median $107.15 Typical High $162.18 | Professional | None (both parts) | $74.13 | $107.15 | $162.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $14.45 Typical High $20.89 | Professional | 26 · Professional part | $11.22 | $14.45 | $20.89 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $109.65 Typical High $158.49 | Professional | TC · Technical part | $69.18 | $109.65 | $158.49 |
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 $42.66 Median $42.66 Typical High $45.71 | Professional | 52 · Reduced service | $42.66 | $42.66 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $16.98 Typical High $18.62 | Professional | 53 · Discontinued | $16.98 | $16.98 | $18.62 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $56.23 Median $56.23 Typical High $66.07 | Professional | 59 · Distinct service | $56.23 | $56.23 | $66.07 |
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· 46th of 51
$87.10
AK $209UT $63.10
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.