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 $165.96 Median $165.96 Typical High $186.21 | Facility | None | $165.96 | $165.96 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $165.96 Typical High $234.42 | Professional | None (both parts) | $158.49 | $165.96 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $61.66 | Professional | 26 · Professional part | $41.69 | $41.69 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $123.03 Typical High $169.82 | Professional | TC · Technical part | $114.82 | $123.03 | $169.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $131.83 Median $141.25 Typical High $141.25 | Professional | None (both parts) | $131.83 | $141.25 | $141.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $134.90 Median $177.83 Typical High $275.42 | Professional | None (both parts) | $134.90 | $177.83 | $275.42 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $45.71 Typical High $70.79 | Professional | 26 · Professional part | $35.48 | $45.71 | $70.79 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $134.90 Typical High $204.17 | Professional | TC · Technical part | $100.00 | $134.90 | $204.17 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $186.21 Typical High $263.03 | Professional | None (both parts) | $134.90 | $186.21 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $52.48 Typical High $74.13 | Professional | 26 · Professional part | $40.74 | $52.48 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $134.90 Typical High $194.98 | Professional | TC · Technical part | $93.33 | $134.90 | $194.98 |
Hometown Health Setting Professional Modifier None Typical Low $13.18 Median $169.82 Typical High $229.09 | Professional | None | $13.18 | $169.82 | $229.09 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $47.86 Typical High $63.10 | Professional | 26 · Professional part | $38.90 | $47.86 | $63.10 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $12.59 Median $123.03 Typical High $165.96 | Professional | TC · Technical part | $12.59 | $123.03 | $165.96 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $13.18 Median $13.18 Typical High $213.80 | Professional | None (both parts) | $13.18 | $13.18 | $213.80 |
Select Health Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $4,265.80 | Facility | None | $141.25 | $141.25 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $81.28 Median $107.15 Typical High $141.25 | Professional | None (both parts) | $81.28 | $107.15 | $141.25 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $169.82 Typical High $263.03 | Professional | None (both parts) | $151.36 | $169.82 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $58.88 Typical High $85.11 | Professional | 26 · Professional part | $38.90 | $58.88 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $154.88 Typical High $229.09 | Professional | TC · Technical part | $109.65 | $154.88 | $229.09 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | 59 · Distinct service | $131.83 | $131.83 | $131.83 |
Where Nevada sits
The same service costs 3.3 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· 33rd of 51
$170
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.