How much rates vary
Facilitymedian $257 · 10th to 90th $257 to $4,266Professionalmedian $257 · 10th to 90th $219 to $389
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 $257.04 Median $257.04 Typical High $281.84 | Facility | None | $257.04 | $257.04 | $281.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $257.04 Typical High $309.03 | Professional | None (both parts) | $251.19 | $257.04 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $162.18 Typical High $181.97 | Professional | 26 · Professional part | $147.91 | $162.18 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $100.00 Typical High $125.89 | Professional | TC · Technical part | $95.50 | $100.00 | $125.89 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $234.42 Median $239.88 Typical High $257.04 | Professional | None (both parts) | $234.42 | $239.88 | $257.04 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $213.80 Median $281.84 Typical High $436.52 | Professional | None (both parts) | $213.80 | $281.84 | $436.52 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $173.78 Typical High $269.15 | Professional | 26 · Professional part | $131.83 | $173.78 | $269.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $107.15 Typical High $165.96 | Professional | TC · Technical part | $81.28 | $107.15 | $165.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $269.15 Typical High $407.38 | Professional | None (both parts) | $218.78 | $269.15 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $158.49 Typical High $257.04 | Professional | 26 · Professional part | $125.89 | $158.49 | $257.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $100.00 Typical High $162.18 | Professional | TC · Technical part | $89.13 | $100.00 | $162.18 |
Hometown Health Setting Professional Modifier None Typical Low $1.91 Median $257.04 Typical High $380.19 | Professional | None | $1.91 | $257.04 | $380.19 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $1.15 Median $158.49 Typical High $234.42 | Professional | 26 · Professional part | $1.15 | $158.49 | $234.42 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.76 Median $107.15 Typical High $144.54 | Professional | TC · Technical part | $0.76 | $107.15 | $144.54 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $1.91 Median $1.91 Typical High $380.19 | Professional | None (both parts) | $1.91 | $1.91 | $380.19 |
Select Health Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $4,265.80 | Facility | None | $257.04 | $257.04 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $151.36 Median $194.98 Typical High $257.04 | Professional | None (both parts) | $151.36 | $194.98 | $257.04 |
United Setting Professional Modifier None (both parts) Typical Low $218.78 Median $269.15 Typical High $380.19 | Professional | None (both parts) | $218.78 | $269.15 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $173.78 Typical High $275.42 | Professional | 26 · Professional part | $144.54 | $173.78 | $275.42 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $117.49 Typical High $169.82 | Professional | TC · Technical part | $93.33 | $117.49 | $169.82 |
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 $123.03 Median $128.82 Typical High $141.25 | Professional | 52 · Reduced service | $123.03 | $128.82 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $52.48 Typical High $56.23 | Professional | 53 · Discontinued | $50.12 | $52.48 | $56.23 |
Where Nevada sits
The same service costs 3.3 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
$257
AK $589TX $178
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.