How much rates vary
Facilitymedian $170 · 10th to 90th $162 to $4,266Professionalmedian $170 · 10th to 90th $115 to $245
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 $169.82 Median $169.82 Typical High $186.21 | Facility | None | $169.82 | $169.82 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $169.82 Typical High $186.21 | Professional | None (both parts) | $147.91 | $169.82 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $83.18 Typical High $91.20 | Professional | 26 · Professional part | $77.62 | $83.18 | $91.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $87.10 Typical High $93.33 | Professional | TC · Technical part | $67.61 | $87.10 | $93.33 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $138.04 Median $177.83 Typical High $281.84 | Professional | None (both parts) | $138.04 | $177.83 | $281.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $91.20 Typical High $138.04 | Professional | 26 · Professional part | $67.61 | $91.20 | $138.04 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $95.50 Typical High $144.54 | Professional | TC · Technical part | $70.79 | $95.50 | $144.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $151.36 Typical High $257.04 | Professional | None (both parts) | $100.00 | $151.36 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $83.18 Typical High $131.83 | Professional | 26 · Professional part | $64.57 | $83.18 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $51.29 Typical High $131.83 | Professional | TC · Technical part | $24.55 | $51.29 | $131.83 |
Hometown Health Setting Professional Modifier None Typical Low $1.23 Median $173.78 Typical High $239.88 | Professional | None | $1.23 | $173.78 | $239.88 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.89 Median $81.28 Typical High $120.23 | Professional | 26 · Professional part | $0.89 | $81.28 | $120.23 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.34 Median $89.13 Typical High $123.03 | Professional | TC · Technical part | $0.34 | $89.13 | $123.03 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $1.23 Median $1.23 Typical High $239.88 | Professional | None (both parts) | $1.23 | $1.23 | $239.88 |
Select Health Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $4,265.80 | Facility | None | $162.18 | $162.18 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $97.72 Median $123.03 Typical High $162.18 | Professional | None (both parts) | $97.72 | $123.03 | $162.18 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $169.82 Typical High $234.42 | Professional | None (both parts) | $125.89 | $169.82 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $85.11 Typical High $134.90 | Professional | 26 · Professional part | $69.18 | $85.11 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $83.18 Typical High $138.04 | Professional | TC · Technical part | $37.15 | $83.18 | $138.04 |
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 $75.86 Median $85.11 Typical High $93.33 | Professional | 52 · Reduced service | $75.86 | $85.11 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $33.88 Typical High $37.15 | Professional | 53 · Discontinued | $30.20 | $33.88 | $37.15 |
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· 29th of 51
$170
AK $398TX $102
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.