How much rates vary
Facilitymedian $170 · 10th to 90th $155 to $4,266Professionalmedian $155 · 10th to 90th $110 to $234
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 $154.88 Median $154.88 Typical High $169.82 | Professional | None (both parts) | $154.88 | $154.88 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $27.54 Typical High $29.51 | Professional | 26 · Professional part | $26.30 | $27.54 | $29.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $128.82 Typical High $141.25 | Professional | TC · Technical part | $128.82 | $128.82 | $141.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $125.89 Median $169.82 Typical High $257.04 | Professional | None (both parts) | $125.89 | $169.82 | $257.04 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $29.51 Typical High $45.71 | Professional | 26 · Professional part | $22.39 | $29.51 | $45.71 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $141.25 Typical High $213.80 | Professional | TC · Technical part | $104.71 | $141.25 | $213.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $138.04 Typical High $251.19 | Professional | None (both parts) | $58.88 | $138.04 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $28.84 Typical High $44.67 | Professional | 26 · Professional part | $21.88 | $28.84 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $114.82 Typical High $213.80 | Professional | TC · Technical part | $30.20 | $114.82 | $213.80 |
Hometown Health Setting Professional Modifier None Typical Low $1.41 Median $173.78 Typical High $257.04 | Professional | None | $1.41 | $173.78 | $257.04 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $30.90 Typical High $42.66 | Professional | 26 · Professional part | $22.39 | $30.90 | $42.66 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $1.26 Median $147.91 Typical High $213.80 | Professional | TC · Technical part | $1.26 | $147.91 | $213.80 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $1.41 Median $1.41 Typical High $257.04 | Professional | None (both parts) | $1.41 | $1.41 | $257.04 |
Select Health Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $4,265.80 | Facility | None | $169.82 | $169.82 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $112.20 Median $128.82 Typical High $169.82 | Professional | None (both parts) | $112.20 | $128.82 | $169.82 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $141.25 Typical High $229.09 | Professional | None (both parts) | $85.11 | $141.25 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $28.18 Typical High $45.71 | Professional | 26 · Professional part | $24.55 | $28.18 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $104.71 Typical High $208.93 | Professional | TC · Technical part | $74.13 | $104.71 | $208.93 |
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 $77.62 Median $77.62 Typical High $83.18 | Professional | 52 · Reduced service | $77.62 | $77.62 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $33.88 | Professional | 53 · Discontinued | $30.90 | $30.90 | $33.88 |
Where Nevada sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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 $324KY $115
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.