How much rates vary
Facilitymedian $204 · 10th to 90th $138 to $676Professionalmedian $155 · 10th to 90th $107 to $214
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 $138.04 Median $138.04 Typical High $147.91 | Facility | None | $138.04 | $138.04 | $147.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $138.04 Typical High $147.91 | Professional | None (both parts) | $134.90 | $138.04 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $25.12 Typical High $27.54 | Professional | 26 · Professional part | $21.88 | $25.12 | $27.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $112.20 Typical High $120.23 | Professional | TC · Technical part | $112.20 | $112.20 | $120.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $95.50 Median $125.89 Typical High $158.49 | Professional | None (both parts) | $95.50 | $125.89 | $158.49 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $165.96 | Professional | None (both parts) | $154.88 | $154.88 | $165.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $23.99 Typical High $26.30 | Professional | 26 · Professional part | $23.99 | $23.99 | $26.30 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $128.82 Typical High $138.04 | Professional | TC · Technical part | $128.82 | $128.82 | $138.04 |
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 $95.50 Median $181.97 Typical High $229.09 | Professional | None (both parts) | $95.50 | $181.97 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $12.30 Typical High $28.18 | Professional | 26 · Professional part | $10.47 | $12.30 | $28.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $173.78 Typical High $199.53 | Professional | TC · Technical part | $83.18 | $173.78 | $199.53 |
Hometown Health Setting Professional Modifier None Typical Low $1.41 Median $112.20 Typical High $165.96 | Professional | None | $1.41 | $112.20 | $165.96 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $13.49 Typical High $30.90 | Professional | 26 · Professional part | $10.23 | $13.49 | $30.90 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $1.20 Median $100.00 Typical High $141.25 | Professional | TC · Technical part | $1.20 | $100.00 | $141.25 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $1.41 Median $1.41 Typical High $194.98 | Professional | None (both parts) | $1.41 | $1.41 | $194.98 |
Select Health Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $4,265.80 | Facility | None | $128.82 | $128.82 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $83.18 Median $114.82 Typical High $263.03 | Professional | None (both parts) | $83.18 | $114.82 | $263.03 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $19.95 Typical High $41.69 | Professional | 26 · Professional part | $14.13 | $19.95 | $41.69 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $95.50 Typical High $218.78 | Professional | TC · Technical part | $69.18 | $95.50 | $218.78 |
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 $12.02 Median $21.38 Typical High $30.20 | Professional | 26 · Professional part | $12.02 | $21.38 | $30.20 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $154.88 Typical High $229.09 | Professional | TC · Technical part | $114.82 | $154.88 | $229.09 |
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 $69.18 Median $69.18 Typical High $74.13 | Professional | 52 · Reduced service | $69.18 | $69.18 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $29.51 | Professional | 53 · Discontinued | $27.54 | $27.54 | $29.51 |
Where Nevada sits
The same service costs 3.7 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· 34th of 51
$155
AK $363UT $97.72
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.