How much rates vary
Facilitymedian $69 · 10th to 90th $63 to $4,266Professionalmedian $66 · 10th to 90th $51 to $115
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 $63.10 Median $63.10 Typical High $69.18 | Facility | None | $63.10 | $63.10 | $69.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $63.10 Typical High $69.18 | Professional | None (both parts) | $63.10 | $63.10 | $69.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $30.90 | Professional | 26 · Professional part | $28.84 | $28.84 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $34.67 Typical High $37.15 | Professional | TC · Technical part | $34.67 | $34.67 | $37.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $60.26 Median $69.18 Typical High $112.20 | Professional | None (both parts) | $60.26 | $69.18 | $112.20 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $30.90 Typical High $50.12 | Professional | 26 · Professional part | $27.54 | $30.90 | $50.12 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $38.02 Typical High $60.26 | Professional | TC · Technical part | $33.11 | $38.02 | $60.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $66.07 Typical High $123.03 | Professional | None (both parts) | $51.29 | $66.07 | $123.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $26.30 Typical High $38.02 | Professional | 26 · Professional part | $23.44 | $26.30 | $38.02 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $34.67 Typical High $97.72 | Professional | TC · Technical part | $27.54 | $34.67 | $97.72 |
Hometown Health Setting Professional Modifier None Typical Low $1.74 Median $60.26 Typical High $93.33 | Professional | None | $1.74 | $60.26 | $93.33 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $27.54 Typical High $39.81 | Professional | 26 · Professional part | $23.44 | $27.54 | $39.81 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $1.55 Median $33.11 Typical High $54.95 | Professional | TC · Technical part | $1.55 | $33.11 | $54.95 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $1.74 Median $1.74 Typical High $104.71 | Professional | None (both parts) | $1.74 | $1.74 | $104.71 |
Select Health Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $4,265.80 | Facility | None | $69.18 | $69.18 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $39.81 Median $63.10 Typical High $128.82 | Professional | None (both parts) | $39.81 | $63.10 | $128.82 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $25.70 Typical High $53.70 | Professional | 26 · Professional part | $16.98 | $25.70 | $53.70 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $37.15 Typical High $74.13 | Professional | TC · Technical part | $22.91 | $37.15 | $74.13 |
United Setting Professional Modifier None (both parts) Typical Low $53.70 Median $69.18 Typical High $100.00 | Professional | None (both parts) | $53.70 | $69.18 | $100.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $28.18 Typical High $39.81 | Professional | 26 · Professional part | $23.99 | $28.18 | $39.81 |
United Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $31.62 Typical High $46.77 | Professional | TC · Technical part | $27.54 | $31.62 | $46.77 |
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 $31.62 Median $31.62 Typical High $33.88 | Professional | 52 · Reduced service | $31.62 | $31.62 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $12.59 Typical High $13.80 | Professional | 53 · Discontinued | $12.59 | $12.59 | $13.80 |
Where Nevada sits
The same service costs 3.6 times more in Minnesota 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· 32nd of 51
$66.07
MN $141TX $38.90
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.