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 $398.11 Median $398.11 Typical High $426.58 | Facility | None | $398.11 | $398.11 | $426.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $398.11 Typical High $457.09 | Professional | None (both parts) | $354.81 | $398.11 | $457.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $58.88 Typical High $66.07 | Professional | 26 · Professional part | $53.70 | $58.88 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $338.84 Typical High $380.19 | Professional | TC · Technical part | $288.40 | $338.84 | $380.19 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $380.19 Median $416.87 Typical High $416.87 | Professional | None (both parts) | $380.19 | $416.87 | $416.87 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $56.23 Typical High $56.23 | Professional | 26 · Professional part | $52.48 | $56.23 | $56.23 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $323.59 Median $426.58 Typical High $676.08 | Professional | None (both parts) | $323.59 | $426.58 | $676.08 |
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 $275.42 Median $363.08 Typical High $537.03 | Professional | TC · Technical part | $275.42 | $363.08 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $281.84 Typical High $588.84 | Professional | None (both parts) | $123.03 | $281.84 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $58.88 Typical High $89.13 | Professional | 26 · Professional part | $44.67 | $58.88 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $239.88 Typical High $501.19 | Professional | TC · Technical part | $75.86 | $239.88 | $501.19 |
Hometown Health Setting Professional Modifier None Typical Low $3.47 Median $416.87 Typical High $616.60 | Professional | None | $3.47 | $416.87 | $616.60 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $64.57 Typical High $89.13 | Professional | 26 · Professional part | $46.77 | $64.57 | $89.13 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $2.88 Median $363.08 Typical High $537.03 | Professional | TC · Technical part | $2.88 | $363.08 | $537.03 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $3.47 Median $3.47 Typical High $616.60 | Professional | None (both parts) | $3.47 | $3.47 | $616.60 |
Select Health Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $4,265.80 | Facility | None | $416.87 | $416.87 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $245.47 Median $316.23 Typical High $416.87 | Professional | None (both parts) | $245.47 | $316.23 | $416.87 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $331.13 Typical High $537.03 | Professional | None (both parts) | $128.82 | $331.13 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $58.88 Typical High $93.33 | Professional | 26 · Professional part | $47.86 | $58.88 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $302.00 Typical High $549.54 | Professional | TC · Technical part | $154.88 | $302.00 | $549.54 |
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 $177.83 Median $194.98 Typical High $213.80 | Professional | 52 · Reduced service | $177.83 | $194.98 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $79.43 Typical High $85.11 | Professional | 53 · Discontinued | $70.79 | $79.43 | $85.11 |
Where Nevada sits
The same service costs 3.0 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· 31st of 51
$398
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.