How much rates vary
Facilitymedian $417 · 10th to 90th $195 to $1,413Professionalmedian $204 · 10th to 90th $155 to $331
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 $194.98 Median $213.80 Typical High $851.14 | Facility | None | $194.98 | $213.80 | $851.14 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $257.04 | Professional | None (both parts) | $194.98 | $194.98 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $35.48 Typical High $45.71 | Professional | 26 · Professional part | $32.36 | $35.48 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $162.18 Typical High $229.09 | Professional | TC · Technical part | $162.18 | $162.18 | $229.09 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $147.91 Median $154.88 Typical High $218.78 | Professional | None (both parts) | $147.91 | $154.88 | $218.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $26.92 Typical High $48.98 | Professional | 26 · Professional part | $25.12 | $26.92 | $48.98 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $416.87 | Professional | None (both parts) | $194.98 | $194.98 | $416.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $74.13 | Professional | 26 · Professional part | $33.88 | $33.88 | $74.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $162.18 Typical High $338.84 | Professional | TC · Technical part | $162.18 | $162.18 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $457.09 Typical High $1,412.54 | Facility | None | $346.74 | $457.09 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $239.88 Typical High $346.74 | Professional | None (both parts) | $181.97 | $239.88 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $39.81 Typical High $57.54 | Professional | 26 · Professional part | $27.54 | $39.81 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $199.53 Typical High $288.40 | Professional | TC · Technical part | $158.49 | $199.53 | $288.40 |
Hometown Health Setting Professional Modifier None Typical Low $3.24 Median $194.98 Typical High $295.12 | Professional | None | $3.24 | $194.98 | $295.12 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.89 Median $33.11 Typical High $51.29 | Professional | 26 · Professional part | $0.89 | $33.11 | $51.29 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $2.34 Median $158.49 Typical High $245.47 | Professional | TC · Technical part | $2.34 | $158.49 | $245.47 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $3.24 Median $3.24 Typical High $275.42 | Professional | None (both parts) | $3.24 | $3.24 | $275.42 |
Select Health Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $4,265.80 | Facility | None | $181.97 | $181.97 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $181.97 | Professional | None (both parts) | $114.82 | $114.82 | $181.97 |
United Setting Professional Modifier None (both parts) Typical Low $181.97 Median $239.88 Typical High $338.84 | Professional | None (both parts) | $181.97 | $239.88 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $39.81 Typical High $57.54 | Professional | 26 · Professional part | $31.62 | $39.81 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $229.09 Typical High $323.59 | Professional | TC · Technical part | $151.36 | $229.09 | $323.59 |
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 $97.72 Median $97.72 Typical High $107.15 | Professional | 52 · Reduced service | $97.72 | $97.72 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $42.66 | Professional | 53 · Discontinued | $39.81 | $39.81 | $42.66 |
Where Nevada sits
The same service costs 3.5 times more in Minnesota 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· 39th of 51
$209
MN $550UT $158
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.