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 $114.82 Median $114.82 Typical High $125.89 | Facility | None | $114.82 | $114.82 | $125.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $125.89 | Professional | None (both parts) | $114.82 | $114.82 | $125.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $57.54 Typical High $63.10 | Professional | 52 · Reduced service | $52.48 | $57.54 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $23.44 Typical High $25.12 | Professional | 53 · Discontinued | $20.89 | $23.44 | $25.12 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $93.33 Median $123.03 Typical High $190.55 | Professional | None (both parts) | $93.33 | $123.03 | $190.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $134.90 Typical High $204.17 | Professional | None (both parts) | $112.20 | $134.90 | $204.17 |
Hometown Health Setting Professional Modifier None Typical Low $1.38 Median $93.33 Typical High $134.90 | Professional | None | $1.38 | $93.33 | $134.90 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $1.38 Median $1.38 Typical High $128.82 | Professional | None (both parts) | $1.38 | $1.38 | $128.82 |
Select Health Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $4,265.80 | Facility | None | $87.10 | $87.10 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $87.10 | Professional | None (both parts) | $66.07 | $66.07 | $87.10 |
United Setting Professional Modifier None (both parts) Typical Low $89.13 Median $107.15 Typical High $158.49 | Professional | None (both parts) | $89.13 | $107.15 | $158.49 |
1 more rate 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 |
|---|---|---|---|---|---|
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $85.11 Typical High $147.91 | Professional | TC · Technical part | $81.28 | $85.11 | $147.91 |
Where Nevada sits
The same service costs 3.2 times more in Alaska than in Florida. 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· 36th of 51
$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.