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 $354.81 Median $354.81 Typical High $389.05 | Facility | None | $354.81 | $354.81 | $389.05 |
Aetna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $354.81 Typical High $389.05 | Professional | None (both parts) | $331.13 | $354.81 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $58.88 Typical High $63.10 | Professional | 26 · Professional part | $53.70 | $58.88 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $302.00 Typical High $331.13 | Professional | TC · Technical part | $275.42 | $302.00 | $331.13 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None (both parts) | $380.19 | $380.19 | $380.19 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $295.12 Median $389.05 Typical High $602.56 | Professional | None (both parts) | $295.12 | $389.05 | $602.56 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $63.10 Typical High $95.50 | Professional | 26 · Professional part | $46.77 | $63.10 | $95.50 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $323.59 Typical High $501.19 | Professional | TC · Technical part | $245.47 | $323.59 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $309.03 Typical High $549.54 | Professional | None (both parts) | $131.83 | $309.03 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $57.54 Typical High $91.20 | Professional | 26 · Professional part | $44.67 | $57.54 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $263.03 Typical High $467.74 | Professional | TC · Technical part | $83.18 | $263.03 | $467.74 |
Hometown Health Setting Professional Modifier None Typical Low $3.72 Median $426.58 Typical High $602.56 | Professional | None | $3.72 | $426.58 | $602.56 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $67.61 Typical High $91.20 | Professional | 26 · Professional part | $45.71 | $67.61 | $91.20 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $3.16 Median $371.54 Typical High $512.86 | Professional | TC · Technical part | $3.16 | $371.54 | $512.86 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $3.72 Median $3.72 Typical High $575.44 | Professional | None (both parts) | $3.72 | $3.72 | $575.44 |
Select Health Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $4,265.80 | Facility | None | $380.19 | $380.19 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $218.78 Median $295.12 Typical High $380.19 | Professional | None (both parts) | $218.78 | $295.12 | $380.19 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $323.59 Typical High $501.19 | Professional | None (both parts) | $117.49 | $323.59 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $58.88 Typical High $95.50 | Professional | 26 · Professional part | $47.86 | $58.88 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $269.15 Typical High $501.19 | Professional | TC · Technical part | $173.78 | $269.15 | $501.19 |
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 $162.18 Median $177.83 Typical High $194.98 | Professional | 52 · Reduced service | $162.18 | $177.83 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $70.79 Typical High $77.62 | Professional | 53 · Discontinued | $66.07 | $70.79 | $77.62 |
Where Nevada sits
The same service costs 3.2 times more in Alaska than in New Mexico. 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· 32nd of 51
$355
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.