How much rates vary
Facilitymedian $457 · 10th to 90th $282 to $1,413Professionalmedian $282 · 10th to 90th $186 to $501
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 $281.84 Median $302.00 Typical High $660.69 | Facility | None | $281.84 | $302.00 | $660.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $281.84 Typical High $363.08 | Professional | None (both parts) | $251.19 | $281.84 | $363.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $93.33 | Professional | 26 · Professional part | $57.54 | $57.54 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $218.78 Typical High $295.12 | Professional | TC · Technical part | $169.82 | $218.78 | $295.12 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $177.83 Median $208.93 Typical High $389.05 | Professional | None (both parts) | $177.83 | $208.93 | $389.05 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $588.84 | Professional | None (both parts) | $275.42 | $275.42 | $588.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $123.03 | Professional | 26 · Professional part | $56.23 | $56.23 | $123.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $218.78 Typical High $467.74 | Professional | TC · Technical part | $218.78 | $218.78 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $457.09 Typical High $1,412.54 | Facility | None | $416.87 | $457.09 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $331.13 Typical High $512.86 | Professional | None (both parts) | $263.03 | $331.13 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $89.13 Typical High $117.49 | Professional | 26 · Professional part | $58.88 | $89.13 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $251.19 Typical High $398.11 | Professional | TC · Technical part | $208.93 | $251.19 | $398.11 |
Hometown Health Setting Professional Modifier None Typical Low $4.68 Median $257.04 Typical High $416.87 | Professional | None | $4.68 | $257.04 | $416.87 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $1.91 Median $70.79 Typical High $95.50 | Professional | 26 · Professional part | $1.91 | $70.79 | $95.50 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $2.82 Median $173.78 Typical High $331.13 | Professional | TC · Technical part | $2.82 | $173.78 | $331.13 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $4.68 Median $4.68 Typical High $389.05 | Professional | None (both parts) | $4.68 | $4.68 | $389.05 |
Select Health Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $4,265.80 | Facility | None | $257.04 | $257.04 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $257.04 | Professional | None (both parts) | $162.18 | $162.18 | $257.04 |
United Setting Professional Modifier None (both parts) Typical Low $177.83 Median $338.84 Typical High $512.86 | Professional | None (both parts) | $177.83 | $338.84 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $89.13 Typical High $125.89 | Professional | 26 · Professional part | $54.95 | $89.13 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $309.03 Typical High $426.58 | Professional | TC · Technical part | $208.93 | $309.03 | $426.58 |
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 $138.04 Median $138.04 Typical High $151.36 | Professional | 52 · Reduced service | $138.04 | $138.04 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $60.26 | Professional | 53 · Discontinued | $56.23 | $56.23 | $60.26 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $177.83 Median $208.93 Typical High $208.93 | Professional | 59 · Distinct service | $177.83 | $208.93 | $208.93 |
Where Nevada sits
The same service costs 3.3 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· 43rd of 51
$282
MN $676UT $204
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.