How much rates vary
Facilitymedian $692 · 10th to 90th $447 to $4,266Professionalmedian $692 · 10th to 90th $380 to $871
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 $691.83 Median $691.83 Typical High $776.25 | Facility | None | $691.83 | $691.83 | $776.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $602.56 Median $691.83 Typical High $776.25 | Professional | None (both parts) | $602.56 | $691.83 | $776.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $89.13 Typical High $100.00 | Professional | 26 · Professional part | $85.11 | $89.13 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $602.56 Typical High $676.08 | Professional | TC · Technical part | $512.86 | $602.56 | $676.08 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $660.69 Median $691.83 Typical High $691.83 | Professional | None (both parts) | $660.69 | $691.83 | $691.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $89.13 Typical High $91.20 | Professional | 26 · Professional part | $89.13 | $89.13 | $91.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $562.34 Median $602.56 Typical High $602.56 | Professional | TC · Technical part | $562.34 | $602.56 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $562.34 Median $616.60 Typical High $1,000.00 | Professional | None (both parts) | $562.34 | $616.60 | $1,000.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $104.71 Typical High $169.82 | Professional | 26 · Professional part | $70.79 | $104.71 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $512.86 Typical High $870.96 | Professional | TC · Technical part | $446.68 | $512.86 | $870.96 |
Hometown Health Setting Professional Modifier None Typical Low $6.92 Median $616.60 Typical High $812.83 | Professional | None | $6.92 | $616.60 | $812.83 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $1.58 Median $85.11 Typical High $128.82 | Professional | 26 · Professional part | $1.58 | $85.11 | $128.82 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $5.37 Median $512.86 Typical High $691.83 | Professional | TC · Technical part | $5.37 | $512.86 | $691.83 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $6.92 Median $6.92 Typical High $776.25 | Professional | None (both parts) | $6.92 | $6.92 | $776.25 |
Select Health Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $4,265.80 | Facility | None | $512.86 | $512.86 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $309.03 Median $389.05 Typical High $512.86 | Professional | None (both parts) | $309.03 | $389.05 | $512.86 |
United Setting Professional Modifier None (both parts) Typical Low $363.08 Median $602.56 Typical High $870.96 | Professional | None (both parts) | $363.08 | $602.56 | $870.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $114.82 Typical High $169.82 | Professional | 26 · Professional part | $79.43 | $114.82 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $575.44 Typical High $891.25 | Professional | TC · Technical part | $467.74 | $575.44 | $891.25 |
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 $295.12 Median $346.74 Typical High $389.05 | Professional | 52 · Reduced service | $295.12 | $346.74 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $138.04 Typical High $154.88 | Professional | 53 · Discontinued | $120.23 | $138.04 | $154.88 |
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· 30th of 51
$692
AK $1,288TX $389
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.