How much rates vary
Facilitymedian $269 · 10th to 90th $135 to $851Professionalmedian $138 · 10th to 90th $117 to $245
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 $134.90 Median $134.90 Typical High $144.54 | Facility | None | $134.90 | $134.90 | $144.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $199.53 | Professional | None (both parts) | $134.90 | $134.90 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $23.44 Typical High $26.92 | Professional | 26 · Professional part | $21.38 | $23.44 | $26.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $177.83 | Professional | TC · Technical part | $109.65 | $109.65 | $177.83 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $112.20 | Professional | None (both parts) | $107.15 | $107.15 | $112.20 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $288.40 | Professional | None (both parts) | $131.83 | $131.83 | $288.40 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $47.86 | Professional | 26 · Professional part | $22.39 | $22.39 | $47.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $239.88 | Professional | TC · Technical part | $109.65 | $109.65 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $302.00 Typical High $851.14 | Facility | None | $245.47 | $302.00 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $151.36 Typical High $245.47 | Professional | None (both parts) | $125.89 | $151.36 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $26.30 Typical High $38.90 | Professional | 26 · Professional part | $18.20 | $26.30 | $38.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $128.82 Typical High $208.93 | Professional | TC · Technical part | $104.71 | $128.82 | $208.93 |
Hometown Health Setting Professional Modifier None Typical Low $3.63 Median $141.25 Typical High $213.80 | Professional | None | $3.63 | $141.25 | $213.80 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $1.51 Median $21.88 Typical High $33.88 | Professional | 26 · Professional part | $1.51 | $21.88 | $33.88 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $2.14 Median $117.49 Typical High $177.83 | Professional | TC · Technical part | $2.14 | $117.49 | $177.83 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $3.63 Median $3.63 Typical High $199.53 | Professional | None (both parts) | $3.63 | $3.63 | $199.53 |
Select Health Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $4,265.80 | Facility | None | $131.83 | $131.83 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $131.83 | Professional | None (both parts) | $81.28 | $81.28 | $131.83 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $169.82 Typical High $251.19 | Professional | None (both parts) | $125.89 | $169.82 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $26.30 Typical High $37.15 | Professional | 26 · Professional part | $20.89 | $26.30 | $37.15 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $169.82 Typical High $239.88 | Professional | TC · Technical part | $104.71 | $169.82 | $239.88 |
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 $67.61 Median $67.61 Typical High $72.44 | Professional | 52 · Reduced service | $67.61 | $67.61 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $28.84 | Professional | 53 · Discontinued | $26.92 | $26.92 | $28.84 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 59 · Distinct service | $107.15 | $107.15 | $107.15 |
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· 47th of 51
$138
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.