How much rates vary
Facilitymedian $91 · 10th to 90th $89 to $4,266Professionalmedian $91 · 10th to 90th $60 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 $91.20 Median $91.20 Typical High $100.00 | Facility | None | $91.20 | $91.20 | $100.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $91.20 Typical High $100.00 | Professional | None (both parts) | $83.18 | $91.20 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $45.71 Typical High $50.12 | Professional | 26 · Professional part | $42.66 | $45.71 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $45.71 Typical High $50.12 | Professional | TC · Technical part | $39.81 | $45.71 | $50.12 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $83.18 | Professional | None (both parts) | $75.86 | $75.86 | $83.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $75.86 Median $100.00 Typical High $151.36 | Professional | None (both parts) | $75.86 | $100.00 | $151.36 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $50.12 Typical High $75.86 | Professional | 26 · Professional part | $37.15 | $50.12 | $75.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $50.12 Typical High $75.86 | Professional | TC · Technical part | $38.02 | $50.12 | $75.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $83.18 Typical High $138.04 | Professional | None (both parts) | $51.29 | $83.18 | $138.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $45.71 Typical High $70.79 | Professional | 26 · Professional part | $36.31 | $45.71 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $12.30 Median $33.11 Typical High $69.18 | Professional | TC · Technical part | $12.30 | $33.11 | $69.18 |
Hometown Health Setting Professional Modifier None Typical Low $0.76 Median $89.13 Typical High $134.90 | Professional | None | $0.76 | $89.13 | $134.90 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.38 Median $43.65 Typical High $66.07 | Professional | 26 · Professional part | $0.38 | $43.65 | $66.07 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.39 Median $45.71 Typical High $69.18 | Professional | TC · Technical part | $0.39 | $45.71 | $69.18 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $0.76 Median $0.76 Typical High $134.90 | Professional | None (both parts) | $0.76 | $0.76 | $134.90 |
Select Health Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $4,265.80 | Facility | None | $89.13 | $89.13 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $54.95 Median $69.18 Typical High $89.13 | Professional | None (both parts) | $54.95 | $69.18 | $89.13 |
United Setting Professional Modifier None (both parts) Typical Low $60.26 Median $83.18 Typical High $125.89 | Professional | None (both parts) | $60.26 | $83.18 | $125.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $46.77 Typical High $74.13 | Professional | 26 · Professional part | $38.90 | $46.77 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $39.81 Typical High $72.44 | Professional | TC · Technical part | $24.55 | $39.81 | $72.44 |
3 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 $41.69 Median $45.71 Typical High $50.12 | Professional | 52 · Reduced service | $41.69 | $45.71 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $18.62 Typical High $19.95 | Professional | 53 · Discontinued | $16.98 | $18.62 | $19.95 |
Ambetter Setting Professional Modifier XU · Unusual separate service Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | XU · Unusual separate service | $83.18 | $83.18 | $83.18 |
Where Nevada sits
The same service costs 3.2 times more in Alaska than in Alabama. 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· 27th of 51
$91.20
AK $219AL $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.