How much rates vary
Facilitymedian $71 · 10th to 90th $66 to $4,266Professionalmedian $71 · 10th to 90th $60 to $98
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 $70.79 Median $70.79 Typical High $75.86 | Facility | None | $70.79 | $70.79 | $75.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $75.86 | Professional | None (both parts) | $70.79 | $70.79 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $25.12 | Professional | 26 · Professional part | $22.91 | $22.91 | $25.12 |
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 $57.54 Median $77.62 Typical High $123.03 | Professional | None (both parts) | $57.54 | $77.62 | $123.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $25.12 Typical High $40.74 | Professional | 26 · Professional part | $21.38 | $25.12 | $40.74 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $52.48 Typical High $85.11 | Professional | TC · Technical part | $45.71 | $52.48 | $85.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $66.07 Typical High $95.50 | Professional | None (both parts) | $60.26 | $66.07 | $95.50 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $20.89 Typical High $30.20 | Professional | 26 · Professional part | $19.05 | $20.89 | $30.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $44.67 Typical High $64.57 | Professional | TC · Technical part | $41.69 | $44.67 | $64.57 |
Hometown Health Setting Professional Modifier None Typical Low $60.26 Median $70.79 Typical High $93.33 | Professional | None | $60.26 | $70.79 | $93.33 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $22.91 Typical High $30.20 | Professional | 26 · Professional part | $19.05 | $22.91 | $30.20 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $47.86 Typical High $63.10 | Professional | TC · Technical part | $40.74 | $47.86 | $63.10 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None (both parts) | $100.00 | $100.00 | $100.00 |
Select Health Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $4,265.80 | Facility | None | $66.07 | $66.07 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $40.74 Median $60.26 Typical High $123.03 | Professional | None (both parts) | $40.74 | $60.26 | $123.03 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $19.05 Typical High $40.74 | Professional | 26 · Professional part | $13.18 | $19.05 | $40.74 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $40.74 Typical High $81.28 | Professional | TC · Technical part | $28.18 | $40.74 | $81.28 |
United Setting Professional Modifier None (both parts) Typical Low $60.26 Median $75.86 Typical High $102.33 | Professional | None (both parts) | $60.26 | $75.86 | $102.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $23.99 Typical High $34.67 | Professional | 26 · Professional part | $19.95 | $23.99 | $34.67 |
United Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $53.70 Typical High $75.86 | Professional | TC · Technical part | $43.65 | $53.70 | $75.86 |
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 $35.48 Median $35.48 Typical High $38.02 | Professional | 52 · Reduced service | $35.48 | $35.48 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $15.14 | Professional | 53 · Discontinued | $14.13 | $14.13 | $15.14 |
Where Nevada sits
The same service costs 4.9 times more in Nebraska 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· 38th of 51
$70.79
NE $155UT $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.