How much rates vary
Facilitymedian $302 · 10th to 90th $166 to $1,622Professionalmedian $170 · 10th to 90th $151 to $302
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 $165.96 Median $177.83 Typical High $501.19 | Facility | None | $165.96 | $177.83 | $501.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $223.87 | Professional | None (both parts) | $165.96 | $165.96 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $25.70 Typical High $28.84 | Professional | 26 · Professional part | $23.44 | $25.70 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $138.04 Typical High $218.78 | Professional | TC · Technical part | $138.04 | $138.04 | $218.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $162.18 | Professional | None (both parts) | $128.82 | $128.82 | $162.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $363.08 | Professional | None (both parts) | $162.18 | $162.18 | $363.08 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.12 Typical High $52.48 | Professional | 26 · Professional part | $25.12 | $25.12 | $52.48 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $138.04 Typical High $309.03 | Professional | TC · Technical part | $138.04 | $138.04 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $302.00 Typical High $1,621.81 | Facility | None | $269.15 | $302.00 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $177.83 Typical High $295.12 | Professional | None (both parts) | $151.36 | $177.83 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $28.84 Typical High $43.65 | Professional | 26 · Professional part | $20.42 | $28.84 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $162.18 Typical High $263.03 | Professional | TC · Technical part | $114.82 | $162.18 | $263.03 |
Hometown Health Setting Professional Modifier None Typical Low $4.37 Median $173.78 Typical High $263.03 | Professional | None | $4.37 | $173.78 | $263.03 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $1.62 Median $24.55 Typical High $37.15 | Professional | 26 · Professional part | $1.62 | $24.55 | $37.15 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $2.75 Median $151.36 Typical High $229.09 | Professional | TC · Technical part | $2.75 | $151.36 | $229.09 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $4.37 Median $4.37 Typical High $245.47 | Professional | None (both parts) | $4.37 | $4.37 | $245.47 |
Select Health Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $4,265.80 | Facility | None | $165.96 | $165.96 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $165.96 | Professional | None (both parts) | $100.00 | $100.00 | $165.96 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $208.93 Typical High $302.00 | Professional | None (both parts) | $144.54 | $208.93 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $30.20 Typical High $41.69 | Professional | 26 · Professional part | $22.91 | $30.20 | $41.69 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $204.17 Typical High $295.12 | Professional | TC · Technical part | $131.83 | $204.17 | $295.12 |
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 $83.18 Median $83.18 Typical High $89.13 | Professional | 52 · Reduced service | $83.18 | $83.18 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $35.48 | Professional | 53 · Discontinued | $33.11 | $33.11 | $35.48 |
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· 43rd of 51
$170
AK $417UT $126
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.