How much rates vary
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 $302.00 Median $302.00 Typical High $331.13 | Facility | None | $302.00 | $302.00 | $331.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $331.13 | Professional | None (both parts) | $302.00 | $302.00 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $120.23 Typical High $131.83 | Professional | 26 · Professional part | $120.23 | $120.23 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $181.97 Typical High $194.98 | Professional | TC · Technical part | $181.97 | $181.97 | $194.98 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $245.47 Median $331.13 Typical High $416.87 | Professional | None (both parts) | $245.47 | $331.13 | $416.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $131.83 Typical High $173.78 | Professional | 26 · Professional part | $114.82 | $131.83 | $173.78 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $194.98 Typical High $263.03 | Professional | TC · Technical part | $147.91 | $194.98 | $263.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $331.13 Typical High $512.86 | Professional | None (both parts) | $229.09 | $331.13 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $134.90 Typical High $208.93 | Professional | 26 · Professional part | $93.33 | $134.90 | $208.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $199.53 Typical High $302.00 | Professional | TC · Technical part | $154.88 | $199.53 | $302.00 |
Hometown Health Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None | $389.05 | $389.05 | $389.05 |
Select Health Setting Facility Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Facility | None | $4,265.80 | $4,265.80 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $4,265.80 Median $5,011.87 Typical High $5,128.61 | Professional | None (both parts) | $4,265.80 | $5,011.87 | $5,128.61 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $281.84 Typical High $398.11 | Professional | None (both parts) | $131.83 | $281.84 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $112.20 Typical High $162.18 | Professional | 26 · Professional part | $100.00 | $112.20 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $173.78 Typical High $257.04 | Professional | TC · Technical part | $154.88 | $173.78 | $257.04 |
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 $151.36 Median $151.36 Typical High $165.96 | Professional | 52 · Reduced service | $151.36 | $151.36 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $60.26 Typical High $66.07 | Professional | 53 · Discontinued | $60.26 | $60.26 | $66.07 |
Where Nevada sits
The same service costs 9.8 times more in Alaska than in New York. 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· 30th of 51
$302
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.