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 $1,862.09 Median $1,862.09 Typical High $2,041.74 | Facility | None | $1,862.09 | $1,862.09 | $2,041.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,698.24 Median $1,862.09 Typical High $2,041.74 | Professional | None (both parts) | $1,698.24 | $1,862.09 | $2,041.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $338.84 Typical High $371.54 | Professional | 26 · Professional part | $316.23 | $338.84 | $371.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,380.38 Median $1,548.82 Typical High $1,659.59 | Professional | TC · Technical part | $1,380.38 | $1,548.82 | $1,659.59 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $2,041.74 Typical High $3,162.28 | Professional | None (both parts) | $1,548.82 | $2,041.74 | $3,162.28 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $371.54 Typical High $562.34 | Professional | 26 · Professional part | $275.42 | $371.54 | $562.34 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $1,258.93 Median $1,698.24 Typical High $2,570.40 | Professional | TC · Technical part | $1,258.93 | $1,698.24 | $2,570.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,778.28 Typical High $2,884.03 | Professional | None (both parts) | $870.96 | $1,778.28 | $2,884.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $323.59 Typical High $524.81 | Professional | 26 · Professional part | $245.47 | $323.59 | $524.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $1,288.25 Typical High $2,344.23 | Professional | TC · Technical part | $616.60 | $1,288.25 | $2,344.23 |
Hometown Health Setting Professional Modifier None Typical Low $16.60 Median $1,995.26 Typical High $2,951.21 | Professional | None | $16.60 | $1,995.26 | $2,951.21 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $4.07 Median $338.84 Typical High $501.19 | Professional | 26 · Professional part | $4.07 | $338.84 | $501.19 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $12.59 Median $1,659.59 Typical High $2,454.71 | Professional | TC · Technical part | $12.59 | $1,659.59 | $2,454.71 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $16.60 Median $16.60 Typical High $2,951.21 | Professional | None (both parts) | $16.60 | $16.60 | $2,951.21 |
Select Health Setting Facility Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $4,265.80 | Facility | None | $1,995.26 | $1,995.26 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,513.56 Typical High $1,995.26 | Professional | None (both parts) | $1,096.48 | $1,513.56 | $1,995.26 |
United Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,737.80 Typical High $2,630.27 | Professional | None (both parts) | $1,174.90 | $1,737.80 | $2,630.27 |
United Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $346.74 Typical High $549.54 | Professional | 26 · Professional part | $275.42 | $346.74 | $549.54 |
United Setting Professional Modifier TC · Technical part Typical Low $954.99 Median $1,513.56 Typical High $2,454.71 | Professional | TC · Technical part | $954.99 | $1,513.56 | $2,454.71 |
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 $851.14 Median $933.25 Typical High $1,023.29 | Professional | 52 · Reduced service | $851.14 | $933.25 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $338.84 Median $380.19 Typical High $407.38 | Professional | 53 · Discontinued | $338.84 | $380.19 | $407.38 |
Where Nevada sits
The same service costs 3.2 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· 29th of 51
$1,862
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.