How much rates vary
Facilitymedian $44 · 10th to 90th $40 to $4,266Professionalmedian $49 · 10th to 90th $38 to $71
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 $39.81 Median $43.65 Typical High $977.24 | Facility | None | $39.81 | $43.65 | $977.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $60.26 | Professional | None (both parts) | $39.81 | $39.81 | $60.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $10.47 Typical High $13.80 | Professional | 26 · Professional part | $10.47 | $10.47 | $13.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $29.51 Typical High $46.77 | Professional | TC · Technical part | $29.51 | $29.51 | $46.77 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $39.81 Median $43.65 Typical High $51.29 | Professional | None (both parts) | $39.81 | $43.65 | $51.29 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $9.33 Typical High $12.88 | Professional | 26 · Professional part | $9.33 | $9.33 | $12.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $38.02 Median $43.65 Typical High $72.44 | Professional | None (both parts) | $38.02 | $43.65 | $72.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $11.48 Typical High $18.62 | Professional | 26 · Professional part | $10.00 | $11.48 | $18.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $32.36 Typical High $52.48 | Professional | TC · Technical part | $28.18 | $32.36 | $52.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $51.29 Typical High $74.13 | Professional | None (both parts) | $45.71 | $51.29 | $74.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $12.02 Typical High $19.05 | Professional | 26 · Professional part | $10.23 | $12.02 | $19.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $40.74 Typical High $56.23 | Professional | TC · Technical part | $33.88 | $40.74 | $56.23 |
Hometown Health Setting Professional Modifier None Typical Low $1.00 Median $60.26 Typical High $74.13 | Professional | None | $1.00 | $60.26 | $74.13 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.30 Median $12.02 Typical High $15.49 | Professional | 26 · Professional part | $0.30 | $12.02 | $15.49 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.71 Median $48.98 Typical High $57.54 | Professional | TC · Technical part | $0.71 | $48.98 | $57.54 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $1.00 Median $1.00 Typical High $64.57 | Professional | None (both parts) | $1.00 | $1.00 | $64.57 |
Select Health Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $4,265.80 | Facility | None | $43.65 | $43.65 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $24.55 Median $38.90 Typical High $79.43 | Professional | None (both parts) | $24.55 | $38.90 | $79.43 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $9.33 Typical High $19.50 | Professional | 26 · Professional part | $6.31 | $9.33 | $19.50 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $29.51 Typical High $60.26 | Professional | TC · Technical part | $18.20 | $29.51 | $60.26 |
United Setting Professional Modifier None (both parts) Typical Low $38.90 Median $58.88 Typical High $74.13 | Professional | None (both parts) | $38.90 | $58.88 | $74.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $13.18 Typical High $18.20 | Professional | 26 · Professional part | $10.00 | $13.18 | $18.20 |
United Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $45.71 Typical High $60.26 | Professional | TC · Technical part | $28.84 | $45.71 | $60.26 |
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 $19.95 Median $19.95 Typical High $21.88 | Professional | 52 · Reduced service | $19.95 | $19.95 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $7.94 Typical High $8.71 | Professional | 53 · Discontinued | $7.94 | $7.94 | $8.71 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | 59 · Distinct service | $33.88 | $33.88 | $33.88 |
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· 40th of 51
$48.98
MN $105UT $31.62
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.