How much rates vary
Facilitymedian $166 · 10th to 90th $135 to $4,266Professionalmedian $162 · 10th to 90th $105 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 $165.96 Median $165.96 Typical High $177.83 | Facility | None | $165.96 | $165.96 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $165.96 Typical High $177.83 | Professional | None (both parts) | $147.91 | $165.96 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $28.18 Typical High $30.90 | Professional | 26 · Professional part | $26.30 | $28.18 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $138.04 Typical High $147.91 | Professional | TC · Technical part | $123.03 | $138.04 | $147.91 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $134.90 Median $181.97 Typical High $263.03 | Professional | None (both parts) | $134.90 | $181.97 | $263.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $30.90 Typical High $46.77 | Professional | 26 · Professional part | $22.91 | $30.90 | $46.77 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $147.91 Typical High $218.78 | Professional | TC · Technical part | $112.20 | $147.91 | $218.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $134.90 Typical High $239.88 | Professional | None (both parts) | $57.54 | $134.90 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $28.18 Typical High $43.65 | Professional | 26 · Professional part | $22.39 | $28.18 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $114.82 Typical High $194.98 | Professional | TC · Technical part | $30.20 | $114.82 | $194.98 |
Hometown Health Setting Professional Modifier None Typical Low $1.41 Median $162.18 Typical High $218.78 | Professional | None | $1.41 | $162.18 | $218.78 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $30.20 Typical High $40.74 | Professional | 26 · Professional part | $23.44 | $30.20 | $40.74 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $1.26 Median $138.04 Typical High $181.97 | Professional | TC · Technical part | $1.26 | $138.04 | $181.97 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $1.41 Median $1.41 Typical High $204.17 | Professional | None (both parts) | $1.41 | $1.41 | $204.17 |
Select Health Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $4,265.80 | Facility | None | $134.90 | $134.90 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $89.13 Median $104.71 Typical High $134.90 | Professional | None (both parts) | $89.13 | $104.71 | $134.90 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $131.83 Typical High $223.87 | Professional | None (both parts) | $87.10 | $131.83 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $28.18 Typical High $45.71 | Professional | 26 · Professional part | $23.99 | $28.18 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $104.71 Typical High $194.98 | Professional | TC · Technical part | $70.79 | $104.71 | $194.98 |
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 $74.13 Median $83.18 Typical High $89.13 | Professional | 52 · Reduced service | $74.13 | $83.18 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $33.11 Typical High $35.48 | Professional | 53 · Discontinued | $29.51 | $33.11 | $35.48 |
Where Nevada sits
The same service costs 3.2 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· 28th of 51
$162
AK $324TX $102
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.