How much rates vary
Facilitymedian $155 · 10th to 90th $155 to $4,266Professionalmedian $155 · 10th to 90th $123 to $229
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 $154.88 Median $154.88 Typical High $169.82 | Facility | None | $154.88 | $154.88 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $154.88 Typical High $169.82 | Professional | None (both parts) | $141.25 | $154.88 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $89.13 Typical High $95.50 | Professional | 26 · Professional part | $81.28 | $89.13 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $67.61 Typical High $72.44 | Professional | TC · Technical part | $61.66 | $67.61 | $72.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $102.33 Median $158.49 Typical High $251.19 | Professional | None (both parts) | $102.33 | $158.49 | $251.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $95.50 Typical High $147.91 | Professional | 26 · Professional part | $72.44 | $95.50 | $147.91 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $72.44 Typical High $112.20 | Professional | TC · Technical part | $54.95 | $72.44 | $112.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $154.88 Typical High $239.88 | Professional | None (both parts) | $123.03 | $154.88 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $89.13 Typical High $141.25 | Professional | 26 · Professional part | $70.79 | $89.13 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $64.57 Typical High $104.71 | Professional | TC · Technical part | $51.29 | $64.57 | $104.71 |
Hometown Health Setting Professional Modifier None Typical Low $1.10 Median $154.88 Typical High $229.09 | Professional | None | $1.10 | $154.88 | $229.09 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.60 Median $87.10 Typical High $131.83 | Professional | 26 · Professional part | $0.60 | $87.10 | $131.83 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.50 Median $66.07 Typical High $97.72 | Professional | TC · Technical part | $0.50 | $66.07 | $97.72 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $1.10 Median $1.10 Typical High $229.09 | Professional | None (both parts) | $1.10 | $1.10 | $229.09 |
Select Health Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $4,265.80 | Facility | None | $154.88 | $154.88 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $93.33 Median $117.49 Typical High $154.88 | Professional | None (both parts) | $93.33 | $117.49 | $154.88 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $151.36 Typical High $223.87 | Professional | None (both parts) | $128.82 | $151.36 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $97.72 Typical High $151.36 | Professional | 26 · Professional part | $79.43 | $97.72 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $69.18 Typical High $112.20 | Professional | TC · Technical part | $57.54 | $69.18 | $112.20 |
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 $72.44 Median $77.62 Typical High $85.11 | Professional | 52 · Reduced service | $72.44 | $77.62 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $30.90 Typical High $33.88 | Professional | 53 · Discontinued | $29.51 | $30.90 | $33.88 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | 59 · Distinct service | $144.54 | $144.54 | $144.54 |
Where Nevada sits
The same service costs 3.6 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· 40th of 51
$155
AK $380TX $105
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.