How much rates vary
Facilitymedian $71 · 10th to 90th $66 to $4,266Professionalmedian $66 · 10th to 90th $38 to $112
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 $66.07 Median $66.07 Typical High $70.79 | Facility | None | $66.07 | $66.07 | $70.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $70.79 | Professional | None (both parts) | $66.07 | $66.07 | $70.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $18.20 Typical High $19.50 | Professional | 26 · Professional part | $18.20 | $18.20 | $19.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $47.86 Typical High $51.29 | Professional | TC · Technical part | $47.86 | $47.86 | $51.29 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $61.66 Median $72.44 Typical High $117.49 | Professional | None (both parts) | $61.66 | $72.44 | $117.49 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $19.50 Typical High $32.36 | Professional | 26 · Professional part | $17.38 | $19.50 | $32.36 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $52.48 Typical High $85.11 | Professional | TC · Technical part | $44.67 | $52.48 | $85.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $53.70 Typical High $89.13 | Professional | None (both parts) | $37.15 | $53.70 | $89.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $16.98 Typical High $26.30 | Professional | 26 · Professional part | $15.49 | $16.98 | $26.30 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $38.02 Typical High $66.07 | Professional | TC · Technical part | $20.42 | $38.02 | $66.07 |
Hometown Health Setting Professional Modifier None Typical Low $1.82 Median $70.79 Typical High $147.91 | Professional | None | $1.82 | $70.79 | $147.91 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $1.38 Median $18.62 Typical High $29.51 | Professional | 26 · Professional part | $1.38 | $18.62 | $29.51 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.45 Median $51.29 Typical High $117.49 | Professional | TC · Technical part | $0.45 | $51.29 | $117.49 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $1.82 Median $1.82 Typical High $169.82 | Professional | None (both parts) | $1.82 | $1.82 | $169.82 |
Select Health Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $4,265.80 | Facility | None | $112.20 | $112.20 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $54.95 Median $102.33 Typical High $204.17 | Professional | None (both parts) | $54.95 | $102.33 | $204.17 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $20.42 Typical High $42.66 | Professional | 26 · Professional part | $12.30 | $20.42 | $42.66 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $81.28 Typical High $162.18 | Professional | TC · Technical part | $42.66 | $81.28 | $162.18 |
United Setting Professional Modifier None (both parts) Typical Low $38.02 Median $66.07 Typical High $128.82 | Professional | None (both parts) | $38.02 | $66.07 | $128.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $19.05 Typical High $26.92 | Professional | 26 · Professional part | $15.85 | $19.05 | $26.92 |
United Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $46.77 Typical High $67.61 | Professional | TC · Technical part | $30.90 | $46.77 | $67.61 |
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 $33.11 Median $33.11 Typical High $35.48 | Professional | 52 · Reduced service | $33.11 | $33.11 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.18 Typical High $14.13 | Professional | 53 · Discontinued | $13.18 | $13.18 | $14.13 |
Where Nevada sits
The same service costs 3.5 times more in North Dakota than in Kentucky. 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
$66.07
ND $186KY $53.70
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.