How much rates vary
Facilitymedian $120 · 10th to 90th $117 to $4,266Professionalmedian $117 · 10th to 90th $83 to $174
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 $117.49 Median $117.49 Typical High $128.82 | Facility | None | $117.49 | $117.49 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $117.49 Typical High $128.82 | Professional | None (both parts) | $104.71 | $117.49 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $52.48 Typical High $56.23 | Professional | 26 · Professional part | $48.98 | $52.48 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $66.07 Typical High $70.79 | Professional | TC · Technical part | $54.95 | $66.07 | $70.79 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $95.50 Median $128.82 Typical High $194.98 | Professional | None (both parts) | $95.50 | $128.82 | $194.98 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $56.23 Typical High $87.10 | Professional | 26 · Professional part | $42.66 | $56.23 | $87.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $72.44 Typical High $109.65 | Professional | TC · Technical part | $53.70 | $72.44 | $109.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $109.65 Typical High $181.97 | Professional | None (both parts) | $66.07 | $109.65 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $52.48 Typical High $81.28 | Professional | 26 · Professional part | $40.74 | $52.48 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $48.98 Typical High $102.33 | Professional | TC · Technical part | $19.50 | $48.98 | $102.33 |
Hometown Health Setting Professional Modifier None Typical Low $0.87 Median $125.89 Typical High $177.83 | Professional | None | $0.87 | $125.89 | $177.83 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.65 Median $51.29 Typical High $77.62 | Professional | 26 · Professional part | $0.65 | $51.29 | $77.62 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.23 Median $74.13 Typical High $102.33 | Professional | TC · Technical part | $0.23 | $74.13 | $102.33 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $0.87 Median $0.87 Typical High $177.83 | Professional | None (both parts) | $0.87 | $0.87 | $177.83 |
Select Health Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $4,265.80 | Facility | None | $120.23 | $120.23 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $69.18 Median $91.20 Typical High $120.23 | Professional | None (both parts) | $69.18 | $91.20 | $120.23 |
United Setting Professional Modifier None (both parts) Typical Low $77.62 Median $114.82 Typical High $165.96 | Professional | None (both parts) | $77.62 | $114.82 | $165.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $53.70 Typical High $85.11 | Professional | 26 · Professional part | $43.65 | $53.70 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $67.61 Typical High $109.65 | Professional | TC · Technical part | $34.67 | $67.61 | $109.65 |
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 $52.48 Median $58.88 Typical High $63.10 | Professional | 52 · Reduced service | $52.48 | $58.88 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $23.44 Typical High $25.70 | Professional | 53 · Discontinued | $20.89 | $23.44 | $25.70 |
Where Nevada sits
The same service costs 3.9 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· 32nd of 51
$117
AK $282TX $72.44
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.