How much rates vary
Facilitymedian $479 · 10th to 90th $447 to $4,266Professionalmedian $447 · 10th to 90th $234 to $661
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 $446.68 Median $446.68 Typical High $478.63 | Facility | None | $446.68 | $446.68 | $478.63 |
Aetna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $446.68 Typical High $478.63 | Professional | None (both parts) | $398.11 | $446.68 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $89.13 Typical High $100.00 | Professional | 26 · Professional part | $81.28 | $89.13 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $354.81 Typical High $380.19 | Professional | TC · Technical part | $316.23 | $354.81 | $380.19 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 26 · Professional part | $81.28 | $81.28 | $81.28 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $363.08 Median $478.63 Typical High $741.31 | Professional | None (both parts) | $363.08 | $478.63 | $741.31 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $95.50 Typical High $147.91 | Professional | 26 · Professional part | $72.44 | $95.50 | $147.91 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $389.05 Typical High $588.84 | Professional | TC · Technical part | $288.40 | $389.05 | $588.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $363.08 Typical High $676.08 | Professional | None (both parts) | $177.83 | $363.08 | $676.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $89.13 Typical High $138.04 | Professional | 26 · Professional part | $70.79 | $89.13 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $288.40 Typical High $524.81 | Professional | TC · Technical part | $104.71 | $288.40 | $524.81 |
Hometown Health Setting Professional Modifier None Typical Low $3.63 Median $524.81 Typical High $724.44 | Professional | None | $3.63 | $524.81 | $724.44 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $100.00 Typical High $138.04 | Professional | 26 · Professional part | $74.13 | $100.00 | $138.04 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $3.09 Median $426.58 Typical High $588.84 | Professional | TC · Technical part | $3.09 | $426.58 | $588.84 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $3.63 Median $3.63 Typical High $724.44 | Professional | None (both parts) | $3.63 | $3.63 | $724.44 |
Select Health Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $4,265.80 | Facility | None | $478.63 | $478.63 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $281.84 Median $363.08 Typical High $478.63 | Professional | None (both parts) | $281.84 | $363.08 | $478.63 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $407.38 Typical High $630.96 | Professional | None (both parts) | $147.91 | $407.38 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $89.13 Typical High $144.54 | Professional | 26 · Professional part | $75.86 | $89.13 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $316.23 Typical High $588.84 | Professional | TC · Technical part | $194.98 | $316.23 | $588.84 |
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 $199.53 Median $218.78 Typical High $239.88 | Professional | 52 · Reduced service | $199.53 | $218.78 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $89.13 Typical High $95.50 | Professional | 53 · Discontinued | $81.28 | $89.13 | $95.50 |
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· 34th of 51
$447
AK $977NM $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.