How much rates vary
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 $645.65 Median $645.65 Typical High $707.95 | Facility | None | $645.65 | $645.65 | $707.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $575.44 Median $645.65 Typical High $707.95 | Professional | None (both parts) | $575.44 | $645.65 | $707.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $234.42 Typical High $257.04 | Professional | 26 · Professional part | $218.78 | $234.42 | $257.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $416.87 Typical High $446.68 | Professional | TC · Technical part | $346.74 | $416.87 | $446.68 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $524.81 Median $707.95 Typical High $1,071.52 | Professional | None (both parts) | $524.81 | $707.95 | $1,071.52 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $251.19 Typical High $389.05 | Professional | 26 · Professional part | $190.55 | $251.19 | $389.05 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $457.09 Typical High $676.08 | Professional | TC · Technical part | $338.84 | $457.09 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $436.52 Typical High $977.24 | Professional | None (both parts) | $263.03 | $436.52 | $977.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $234.42 Typical High $363.08 | Professional | 26 · Professional part | $173.78 | $234.42 | $363.08 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $239.88 Typical High $660.69 | Professional | TC · Technical part | $57.54 | $239.88 | $660.69 |
Hometown Health Setting Professional Modifier None Typical Low $4.79 Median $676.08 Typical High $1,122.02 | Professional | None | $4.79 | $676.08 | $1,122.02 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $3.24 Median $223.87 Typical High $338.84 | Professional | 26 · Professional part | $3.24 | $223.87 | $338.84 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $1.51 Median $436.52 Typical High $794.33 | Professional | TC · Technical part | $1.51 | $436.52 | $794.33 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $4.79 Median $4.79 Typical High $1,148.15 | Professional | None (both parts) | $4.79 | $4.79 | $1,148.15 |
Select Health Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $4,265.80 | Facility | None | $758.58 | $758.58 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $446.68 Median $588.84 Typical High $758.58 | Professional | None (both parts) | $446.68 | $588.84 | $758.58 |
United Setting Professional Modifier None (both parts) Typical Low $346.74 Median $524.81 Typical High $933.25 | Professional | None (both parts) | $346.74 | $524.81 | $933.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $234.42 Typical High $371.54 | Professional | 26 · Professional part | $186.21 | $234.42 | $371.54 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $346.74 Typical High $676.08 | Professional | TC · Technical part | $138.04 | $346.74 | $676.08 |
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 $295.12 Median $323.59 Typical High $354.81 | Professional | 52 · Reduced service | $295.12 | $323.59 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $131.83 Typical High $141.25 | Professional | 53 · Discontinued | $117.49 | $131.83 | $141.25 |
Where Nevada sits
The same service costs 3.2 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· 34th of 51
$646
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.