How much rates vary
Facilitymedian $112 · 10th to 90th $107 to $4,266Professionalmedian $107 · 10th to 90th $49 to $151
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 $112.20 Median $112.20 Typical High $120.23 | Facility | None | $112.20 | $112.20 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $112.20 Typical High $120.23 | Professional | None (both parts) | $74.13 | $112.20 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $35.48 Typical High $38.02 | Professional | 26 · Professional part | $32.36 | $35.48 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $75.86 Typical High $81.28 | Professional | TC · Technical part | $41.69 | $75.86 | $81.28 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 26 · Professional part | $77.62 | $77.62 | $77.62 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $91.20 Median $112.20 Typical High $173.78 | Professional | None (both parts) | $91.20 | $112.20 | $173.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $38.02 Typical High $58.88 | Professional | 26 · Professional part | $28.84 | $38.02 | $58.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $83.18 Typical High $128.82 | Professional | TC · Technical part | $61.66 | $83.18 | $128.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $69.18 Typical High $151.36 | Professional | None (both parts) | $41.69 | $69.18 | $151.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $35.48 Typical High $54.95 | Professional | 26 · Professional part | $26.92 | $35.48 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $11.22 Median $30.90 Typical High $100.00 | Professional | TC · Technical part | $11.22 | $30.90 | $100.00 |
Hometown Health Setting Professional Modifier None Typical Low $0.52 Median $91.20 Typical High $158.49 | Professional | None | $0.52 | $91.20 | $158.49 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.33 Median $33.88 Typical High $51.29 | Professional | 26 · Professional part | $0.33 | $33.88 | $51.29 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.20 Median $57.54 Typical High $107.15 | Professional | TC · Technical part | $0.20 | $57.54 | $107.15 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $0.52 Median $0.52 Typical High $158.49 | Professional | None (both parts) | $0.52 | $0.52 | $158.49 |
Select Health Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $4,265.80 | Facility | None | $107.15 | $107.15 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $63.10 Median $81.28 Typical High $107.15 | Professional | None (both parts) | $63.10 | $81.28 | $107.15 |
United Setting Professional Modifier None (both parts) Typical Low $47.86 Median $75.86 Typical High $141.25 | Professional | None (both parts) | $47.86 | $75.86 | $141.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $35.48 Typical High $57.54 | Professional | 26 · Professional part | $30.20 | $35.48 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $58.88 Typical High $107.15 | Professional | TC · Technical part | $19.95 | $58.88 | $107.15 |
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 $45.71 Median $54.95 Typical High $60.26 | Professional | 52 · Reduced service | $45.71 | $54.95 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $22.39 Typical High $23.99 | Professional | 53 · Discontinued | $18.62 | $22.39 | $23.99 |
Where Nevada sits
The same service costs 3.5 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· 28th of 51
$107
AK $229KY $64.57
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.