How much rates vary
Facilitymedian $1,000 · 10th to 90th $977 to $4,266Professionalmedian $977 · 10th to 90th $891 to $1,445
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 $977.24 Median $977.24 Typical High $1,096.48 | Facility | None | $977.24 | $977.24 | $1,096.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $977.24 Median $977.24 Typical High $1,174.90 | Professional | None (both parts) | $977.24 | $977.24 | $1,174.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $128.82 Typical High $144.54 | Professional | 26 · Professional part | $120.23 | $128.82 | $144.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $851.14 Typical High $1,047.13 | Professional | TC · Technical part | $851.14 | $851.14 | $1,047.13 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | None (both parts) | $1,445.44 | $1,445.44 | $1,445.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $977.24 Median $977.24 Typical High $1,288.25 | Professional | None (both parts) | $977.24 | $977.24 | $1,288.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $125.89 Typical High $144.54 | Professional | 26 · Professional part | $125.89 | $125.89 | $144.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $831.76 Typical High $1,148.15 | Professional | TC · Technical part | $831.76 | $831.76 | $1,148.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $891.25 Median $977.24 Typical High $1,584.89 | Professional | None (both parts) | $891.25 | $977.24 | $1,584.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $128.82 Typical High $204.17 | Professional | 26 · Professional part | $104.71 | $128.82 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $851.14 Typical High $1,380.38 | Professional | TC · Technical part | $776.25 | $851.14 | $1,380.38 |
Hometown Health Setting Professional Modifier None Typical Low $1,000.00 Median $1,318.26 Typical High $1,659.59 | Professional | None | $1,000.00 | $1,318.26 | $1,659.59 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $158.49 Typical High $194.98 | Professional | 26 · Professional part | $120.23 | $158.49 | $194.98 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $1,148.15 Typical High $1,445.44 | Professional | TC · Technical part | $891.25 | $1,148.15 | $1,445.44 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | None (both parts) | $1,513.56 | $1,513.56 | $1,513.56 |
Select Health Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $4,265.80 | Facility | None | $1,000.00 | $1,000.00 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $616.60 Median $776.25 Typical High $1,000.00 | Professional | None (both parts) | $616.60 | $776.25 | $1,000.00 |
United Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,071.52 Typical High $1,513.56 | Professional | None (both parts) | $891.25 | $1,071.52 | $1,513.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $141.25 Typical High $213.80 | Professional | 26 · Professional part | $117.49 | $141.25 | $213.80 |
United Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $1,000.00 Typical High $1,445.44 | Professional | TC · Technical part | $758.58 | $1,000.00 | $1,445.44 |
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 $478.63 Median $489.78 Typical High $549.54 | Professional | 52 · Reduced service | $478.63 | $489.78 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $194.98 Typical High $218.78 | Professional | 53 · Discontinued | $190.55 | $194.98 | $218.78 |
Where Nevada sits
The same service costs 2.9 times more in Alaska 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· 45th of 51
$977
AK $2,138TX $741
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.