How much rates vary
Facilitymedian $141 · 10th to 90th $141 to $4,266Professionalmedian $141 · 10th to 90th $117 to $214
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 $141.25 Median $141.25 Typical High $154.88 | Facility | None | $141.25 | $141.25 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $141.25 Typical High $165.96 | Professional | None (both parts) | $134.90 | $141.25 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $81.28 Typical High $93.33 | Professional | 26 · Professional part | $75.86 | $81.28 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $60.26 Typical High $75.86 | Professional | TC · Technical part | $58.88 | $60.26 | $75.86 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $131.83 Median $141.25 Typical High $141.25 | Professional | None (both parts) | $131.83 | $141.25 | $141.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $114.82 Median $154.88 Typical High $234.42 | Professional | None (both parts) | $114.82 | $154.88 | $234.42 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $89.13 Typical High $144.54 | Professional | 26 · Professional part | $66.07 | $89.13 | $144.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $66.07 Typical High $114.82 | Professional | TC · Technical part | $48.98 | $66.07 | $114.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $144.54 Typical High $223.87 | Professional | None (both parts) | $117.49 | $144.54 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $79.43 Typical High $128.82 | Professional | 26 · Professional part | $63.10 | $79.43 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $61.66 Typical High $100.00 | Professional | TC · Technical part | $52.48 | $61.66 | $100.00 |
Hometown Health Setting Professional Modifier None Typical Low $1.00 Median $141.25 Typical High $213.80 | Professional | None | $1.00 | $141.25 | $213.80 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.55 Median $79.43 Typical High $120.23 | Professional | 26 · Professional part | $0.55 | $79.43 | $120.23 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.45 Median $63.10 Typical High $93.33 | Professional | TC · Technical part | $0.45 | $63.10 | $93.33 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $1.00 Median $1.00 Typical High $213.80 | Professional | None (both parts) | $1.00 | $1.00 | $213.80 |
Select Health Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $4,265.80 | Facility | None | $141.25 | $141.25 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $83.18 Median $107.15 Typical High $141.25 | Professional | None (both parts) | $83.18 | $107.15 | $141.25 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $144.54 Typical High $213.80 | Professional | None (both parts) | $120.23 | $144.54 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $87.10 Typical High $138.04 | Professional | 26 · Professional part | $74.13 | $87.10 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $69.18 Typical High $107.15 | Professional | TC · Technical part | $57.54 | $69.18 | $107.15 |
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 $67.61 Median $70.79 Typical High $75.86 | Professional | 52 · Reduced service | $67.61 | $70.79 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $28.18 Typical High $30.90 | Professional | 53 · Discontinued | $26.92 | $28.18 | $30.90 |
Where Nevada sits
The same service costs 4.0 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· 41st of 51
$141
AK $339TX $85.11
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.