How much rates vary
Facilitymedian $30 · 10th to 90th $28 to $4,266Professionalmedian $30 · 10th to 90th $25 to $43
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 $27.54 Median $29.51 Typical High $549.54 | Facility | None | $27.54 | $29.51 | $549.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $27.54 Typical High $36.31 | Professional | None (both parts) | $27.54 | $27.54 | $36.31 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $8.51 Typical High $9.12 | Professional | 26 · Professional part | $8.51 | $8.51 | $9.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $19.05 Typical High $28.18 | Professional | TC · Technical part | $19.05 | $19.05 | $28.18 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $22.91 Median $26.92 Typical High $35.48 | Professional | None (both parts) | $22.91 | $26.92 | $35.48 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $10.47 Typical High $19.05 | Professional | 26 · Professional part | $9.55 | $10.47 | $19.05 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $26.30 Median $28.84 Typical High $48.98 | Professional | None (both parts) | $26.30 | $28.84 | $48.98 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.12 Typical High $16.22 | Professional | 26 · Professional part | $7.94 | $9.12 | $16.22 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $22.39 Typical High $52.48 | Professional | TC · Technical part | $18.20 | $22.39 | $52.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $45.71 | Professional | None (both parts) | $30.20 | $30.20 | $45.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $8.71 Typical High $11.75 | Professional | 26 · Professional part | $6.76 | $8.71 | $11.75 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $23.44 Typical High $33.11 | Professional | TC · Technical part | $20.89 | $23.44 | $33.11 |
Hometown Health Setting Professional Modifier None Typical Low $0.52 Median $35.48 Typical High $45.71 | Professional | None | $0.52 | $35.48 | $45.71 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.30 Median $7.94 Typical High $11.48 | Professional | 26 · Professional part | $0.30 | $7.94 | $11.48 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.23 Median $28.18 Typical High $33.88 | Professional | TC · Technical part | $0.23 | $28.18 | $33.88 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $0.52 Median $0.52 Typical High $44.67 | Professional | None (both parts) | $0.52 | $0.52 | $44.67 |
Select Health Setting Facility Modifier None Typical Low $29.51 Median $29.51 Typical High $4,265.80 | Facility | None | $29.51 | $29.51 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $16.98 Median $26.92 Typical High $53.70 | Professional | None (both parts) | $16.98 | $26.92 | $53.70 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $7.41 Typical High $15.85 | Professional | 26 · Professional part | $5.01 | $7.41 | $15.85 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $12.02 Median $19.05 Typical High $38.90 | Professional | TC · Technical part | $12.02 | $19.05 | $38.90 |
United Setting Professional Modifier None (both parts) Typical Low $26.92 Median $33.88 Typical High $44.67 | Professional | None (both parts) | $26.92 | $33.88 | $44.67 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $8.32 Typical High $11.75 | Professional | 26 · Professional part | $6.92 | $8.32 | $11.75 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $26.30 Typical High $35.48 | Professional | TC · Technical part | $19.05 | $26.30 | $35.48 |
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 $13.80 Median $13.80 Typical High $14.79 | Professional | 52 · Reduced service | $13.80 | $13.80 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $5.50 Typical High $6.03 | Professional | 53 · Discontinued | $5.50 | $5.50 | $6.03 |
Where Nevada sits
The same service costs 2.5 times more in Alaska than in Texas. 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
$30.20
AK $67.61TX $26.92
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.