How much rates vary
Facilitymedian $42 · 10th to 90th $40 to $4,266Professionalmedian $40 · 10th to 90th $33 to $54
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 $39.81 Typical High $42.66 | Facility | None | $39.81 | $39.81 | $42.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $42.66 | Professional | None (both parts) | $39.81 | $39.81 | $42.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $14.79 Typical High $15.85 | Professional | 26 · Professional part | $14.79 | $14.79 | $15.85 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $24.55 Typical High $26.92 | Professional | TC · Technical part | $24.55 | $24.55 | $26.92 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $38.02 Median $38.02 Typical High $41.69 | Professional | None (both parts) | $38.02 | $38.02 | $41.69 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $37.15 Median $42.66 Typical High $69.18 | Professional | None (both parts) | $37.15 | $42.66 | $69.18 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $15.85 Typical High $25.70 | Professional | 26 · Professional part | $14.13 | $15.85 | $25.70 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $26.92 Typical High $43.65 | Professional | TC · Technical part | $23.44 | $26.92 | $43.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $33.11 Typical High $51.29 | Professional | None (both parts) | $26.92 | $33.11 | $51.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $13.80 Typical High $19.95 | Professional | 26 · Professional part | $12.02 | $13.80 | $19.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $13.18 Median $20.89 Typical High $32.36 | Professional | TC · Technical part | $13.18 | $20.89 | $32.36 |
Hometown Health Setting Professional Modifier None Typical Low $0.76 Median $39.81 Typical High $57.54 | Professional | None | $0.76 | $39.81 | $57.54 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.25 Median $14.13 Typical High $19.95 | Professional | 26 · Professional part | $0.25 | $14.13 | $19.95 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.50 Median $26.30 Typical High $38.02 | Professional | TC · Technical part | $0.50 | $26.30 | $38.02 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $0.76 Median $0.76 Typical High $63.10 | Professional | None (both parts) | $0.76 | $0.76 | $63.10 |
Select Health Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $4,265.80 | Facility | None | $41.69 | $41.69 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $24.55 Median $38.02 Typical High $77.62 | Professional | None (both parts) | $24.55 | $38.02 | $77.62 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $12.88 Typical High $26.92 | Professional | 26 · Professional part | $8.71 | $12.88 | $26.92 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $25.12 Typical High $50.12 | Professional | TC · Technical part | $15.85 | $25.12 | $50.12 |
United Setting Professional Modifier None (both parts) Typical Low $33.88 Median $38.90 Typical High $54.95 | Professional | None (both parts) | $33.88 | $38.90 | $54.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $14.79 Typical High $20.42 | Professional | 26 · Professional part | $12.30 | $14.79 | $20.42 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $23.99 Typical High $33.88 | Professional | TC · Technical part | $19.95 | $23.99 | $33.88 |
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 $19.50 Median $19.50 Typical High $21.38 | Professional | 52 · Reduced service | $19.50 | $19.50 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $7.94 Typical High $8.51 | Professional | 53 · Discontinued | $7.94 | $7.94 | $8.51 |
Where Nevada sits
The same service costs 2.7 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· 39th of 51
$39.81
MN $83.18UT $30.90
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.