How much rates vary
Facilitymedian $89 · 10th to 90th $87 to $4,266Professionalmedian $89 · 10th to 90th $68 to $129
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 $89.13 Median $89.13 Typical High $97.72 | Facility | None | $89.13 | $89.13 | $97.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $89.13 Typical High $97.72 | Professional | None (both parts) | $81.28 | $89.13 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $38.90 Typical High $42.66 | Professional | 26 · Professional part | $35.48 | $38.90 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $51.29 Typical High $54.95 | Professional | TC · Technical part | $44.67 | $51.29 | $54.95 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 26 · Professional part | $67.61 | $67.61 | $67.61 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $72.44 Median $97.72 Typical High $147.91 | Professional | None (both parts) | $72.44 | $97.72 | $147.91 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $41.69 Typical High $63.10 | Professional | 26 · Professional part | $31.62 | $41.69 | $63.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $56.23 Typical High $81.28 | Professional | TC · Technical part | $41.69 | $56.23 | $81.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $83.18 Typical High $134.90 | Professional | None (both parts) | $64.57 | $83.18 | $134.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $38.02 Typical High $60.26 | Professional | 26 · Professional part | $30.20 | $38.02 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $44.67 Typical High $74.13 | Professional | TC · Technical part | $34.67 | $44.67 | $74.13 |
Hometown Health Setting Professional Modifier None Typical Low $0.65 Median $79.43 Typical High $131.83 | Professional | None | $0.65 | $79.43 | $131.83 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.35 Median $29.51 Typical High $54.95 | Professional | 26 · Professional part | $0.35 | $29.51 | $54.95 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.30 Median $51.29 Typical High $75.86 | Professional | TC · Technical part | $0.30 | $51.29 | $75.86 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $0.65 Median $0.65 Typical High $131.83 | Professional | None (both parts) | $0.65 | $0.65 | $131.83 |
Select Health Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $4,265.80 | Facility | None | $87.10 | $87.10 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $51.29 Median $67.61 Typical High $87.10 | Professional | None (both parts) | $51.29 | $67.61 | $87.10 |
United Setting Professional Modifier None (both parts) Typical Low $70.79 Median $83.18 Typical High $123.03 | Professional | None (both parts) | $70.79 | $83.18 | $123.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $41.69 Typical High $64.57 | Professional | 26 · Professional part | $34.67 | $41.69 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $47.86 Typical High $83.18 | Professional | TC · Technical part | $42.66 | $47.86 | $83.18 |
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 $40.74 Median $44.67 Typical High $47.86 | Professional | 52 · Reduced service | $40.74 | $44.67 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $17.78 Typical High $19.50 | Professional | 53 · Discontinued | $16.22 | $17.78 | $19.50 |
Where Nevada sits
The same service costs 3.0 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· 33rd of 51
$89.13
AK $204TX $67.61
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.