How much rates vary
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 $120.23 Median $131.83 Typical High $281.84 | Facility | None | $120.23 | $131.83 | $281.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $131.83 Typical High $162.18 | Professional | None (both parts) | $117.49 | $131.83 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $25.12 Typical High $26.92 | Professional | 26 · Professional part | $16.22 | $25.12 | $26.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $104.71 Typical High $138.04 | Professional | TC · Technical part | $102.33 | $104.71 | $138.04 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $269.15 | Professional | None (both parts) | $128.82 | $128.82 | $269.15 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $23.99 Typical High $52.48 | Professional | 26 · Professional part | $23.99 | $23.99 | $52.48 |
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 $123.03 Median $147.91 Typical High $229.09 | Professional | None (both parts) | $123.03 | $147.91 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $20.89 Typical High $38.90 | Professional | 26 · Professional part | $12.59 | $20.89 | $38.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $128.82 Typical High $194.98 | Professional | TC · Technical part | $102.33 | $128.82 | $194.98 |
Hometown Health Setting Professional Modifier None Typical Low $2.82 Median $120.23 Typical High $194.98 | Professional | None | $2.82 | $120.23 | $194.98 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $22.39 Typical High $38.02 | Professional | 26 · Professional part | $13.18 | $22.39 | $38.02 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $2.45 Median $102.33 Typical High $158.49 | Professional | TC · Technical part | $2.45 | $102.33 | $158.49 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $2.82 Median $2.82 Typical High $181.97 | Professional | None (both parts) | $2.82 | $2.82 | $181.97 |
Select Health Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $4,265.80 | Facility | None | $120.23 | $120.23 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $120.23 | Professional | None (both parts) | $77.62 | $77.62 | $120.23 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $158.49 Typical High $223.87 | Professional | None (both parts) | $120.23 | $158.49 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $22.91 Typical High $38.02 | Professional | 26 · Professional part | $15.49 | $22.91 | $38.02 |
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 $64.57 Median $64.57 Typical High $70.79 | Professional | 52 · Reduced service | $64.57 | $64.57 | $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 3.2 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· 36th of 51
$141
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.