How much rates vary
Facilitymedian $19 · 10th to 90th $18 to $4,266Professionalmedian $19 · 10th to 90th $12 to $28
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 $17.78 Median $17.78 Typical High $20.42 | Facility | None | $17.78 | $17.78 | $20.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $17.78 Median $17.78 Typical High $20.42 | Professional | None (both parts) | $17.78 | $17.78 | $20.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $8.51 Typical High $9.55 | Professional | 26 · Professional part | $8.51 | $8.51 | $9.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $9.55 Median $9.55 Typical High $10.72 | Professional | TC · Technical part | $9.55 | $9.55 | $10.72 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $10.96 Median $17.78 Typical High $29.51 | Professional | None (both parts) | $10.96 | $17.78 | $29.51 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.77 Typical High $15.14 | Professional | 26 · Professional part | $7.94 | $9.77 | $15.14 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $8.91 Median $10.47 Typical High $24.55 | Professional | TC · Technical part | $8.91 | $10.47 | $24.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $17.78 Median $17.78 Typical High $20.89 | Professional | None (both parts) | $17.78 | $17.78 | $20.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.41 Typical High $8.32 | Professional | 26 · Professional part | $7.41 | $7.41 | $8.32 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.23 Median $10.23 Typical High $12.88 | Professional | TC · Technical part | $10.23 | $10.23 | $12.88 |
Hometown Health Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $30.20 | Professional | None | $19.05 | $19.05 | $30.20 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $7.94 Typical High $12.59 | Professional | 26 · Professional part | $7.76 | $7.94 | $12.59 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $10.96 Median $11.48 Typical High $17.38 | Professional | TC · Technical part | $10.96 | $11.48 | $17.38 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | None (both parts) | $28.18 | $28.18 | $28.18 |
Select Health Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $4,265.80 | Facility | None | $19.05 | $19.05 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $13.80 Median $16.98 Typical High $25.70 | Professional | None (both parts) | $13.80 | $16.98 | $25.70 |
United Setting Professional Modifier None (both parts) Typical Low $16.98 Median $21.38 Typical High $33.11 | Professional | None (both parts) | $16.98 | $21.38 | $33.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $8.71 Typical High $13.80 | Professional | 26 · Professional part | $6.92 | $8.71 | $13.80 |
United Setting Professional Modifier TC · Technical part Typical Low $9.33 Median $12.88 Typical High $18.62 | Professional | TC · Technical part | $9.33 | $12.88 | $18.62 |
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 $8.91 Median $8.91 Typical High $10.23 | Professional | 52 · Reduced service | $8.91 | $8.91 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $3.55 Typical High $4.07 | Professional | 53 · Discontinued | $3.55 | $3.55 | $4.07 |
Where Nevada sits
The same service costs 2.3 times more in Wisconsin than in North Carolina. 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· 38th of 51
$19.05
WI $39.81NC $17.38
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.