How much rates vary
Facilitymedian $182 · 10th to 90th $120 to $676Professionalmedian $145 · 10th to 90th $117 to $251
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 $120.23 Typical High $128.82 | Facility | None | $120.23 | $120.23 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $190.55 | Professional | None (both parts) | $120.23 | $120.23 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $60.26 Typical High $66.07 | Professional | 26 · Professional part | $58.88 | $60.26 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $120.23 | Professional | TC · Technical part | $58.88 | $58.88 | $120.23 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $257.04 | Professional | None (both parts) | $117.49 | $117.49 | $257.04 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $128.82 | Professional | 26 · Professional part | $60.26 | $60.26 | $128.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $125.89 | Professional | TC · Technical part | $58.88 | $58.88 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $204.17 Typical High $676.08 | Facility | None | $131.83 | $204.17 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $177.83 Typical High $251.19 | Professional | None (both parts) | $128.82 | $177.83 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $72.44 Typical High $104.71 | Professional | 26 · Professional part | $50.12 | $72.44 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $100.00 Typical High $165.96 | Professional | TC · Technical part | $63.10 | $100.00 | $165.96 |
Hometown Health Setting Professional Modifier None Typical Low $4.68 Median $144.54 Typical High $208.93 | Professional | None | $4.68 | $144.54 | $208.93 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $2.00 Median $61.66 Typical High $95.50 | Professional | 26 · Professional part | $2.00 | $61.66 | $95.50 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $2.69 Median $83.18 Typical High $114.82 | Professional | TC · Technical part | $2.69 | $83.18 | $114.82 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $4.68 Median $4.68 Typical High $181.97 | Professional | None (both parts) | $4.68 | $4.68 | $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 $74.13 Median $74.13 Typical High $120.23 | Professional | None (both parts) | $74.13 | $74.13 | $120.23 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $169.82 Typical High $263.03 | Professional | None (both parts) | $117.49 | $169.82 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $72.44 Typical High $104.71 | Professional | 26 · Professional part | $56.23 | $72.44 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $109.65 Typical High $165.96 | Professional | TC · Technical part | $57.54 | $109.65 | $165.96 |
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 $60.26 Median $60.26 Typical High $64.57 | Professional | 52 · Reduced service | $60.26 | $60.26 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $25.70 | Professional | 53 · Discontinued | $23.99 | $23.99 | $25.70 |
Where Nevada sits
The same service costs 4.6 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
$145
AK $316UT $69.18
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.