How much rates vary
Facilitymedian $204 · 10th to 90th $126 to $676Professionalmedian $132 · 10th to 90th $98 to $219
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 $125.89 Median $134.90 Typical High $281.84 | Facility | None | $125.89 | $134.90 | $281.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $125.89 Typical High $173.78 | Professional | None (both parts) | $123.03 | $125.89 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $22.39 Typical High $30.20 | Professional | 26 · Professional part | $21.38 | $22.39 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $151.36 | Professional | TC · Technical part | $102.33 | $102.33 | $151.36 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $93.33 Median $97.72 Typical High $138.04 | Professional | None (both parts) | $93.33 | $97.72 | $138.04 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $16.22 Typical High $31.62 | Professional | 26 · Professional part | $16.22 | $16.22 | $31.62 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $251.19 | Professional | None (both parts) | $123.03 | $123.03 | $251.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $46.77 | Professional | 26 · Professional part | $21.88 | $21.88 | $46.77 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $204.17 | Professional | TC · Technical part | $102.33 | $102.33 | $204.17 |
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 $117.49 Median $162.18 Typical High $223.87 | Professional | None (both parts) | $117.49 | $162.18 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $25.70 Typical High $37.15 | Professional | 26 · Professional part | $18.20 | $25.70 | $37.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $131.83 Typical High $190.55 | Professional | TC · Technical part | $97.72 | $131.83 | $190.55 |
Hometown Health Setting Professional Modifier None Typical Low $2.34 Median $123.03 Typical High $186.21 | Professional | None | $2.34 | $123.03 | $186.21 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.45 Median $22.39 Typical High $33.11 | Professional | 26 · Professional part | $0.45 | $22.39 | $33.11 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $1.91 Median $100.00 Typical High $154.88 | Professional | TC · Technical part | $1.91 | $100.00 | $154.88 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $2.34 Median $2.34 Typical High $173.78 | Professional | None (both parts) | $2.34 | $2.34 | $173.78 |
Select Health Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $4,265.80 | Facility | None | $114.82 | $114.82 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $114.82 | Professional | None (both parts) | $74.13 | $74.13 | $114.82 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $154.88 Typical High $223.87 | Professional | None (both parts) | $114.82 | $154.88 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $26.30 Typical High $37.15 | Professional | 26 · Professional part | $20.42 | $26.30 | $37.15 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $151.36 Typical High $213.80 | Professional | TC · Technical part | $95.50 | $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 $63.10 Median $63.10 Typical High $67.61 | Professional | 52 · Reduced service | $63.10 | $63.10 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.12 Typical High $26.92 | Professional | 53 · Discontinued | $25.12 | $25.12 | $26.92 |
Where Nevada sits
The same service costs 4.0 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· 41st of 51
$132
MN $380UT $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.