How much rates vary
Facilitymedian $269 · 10th to 90th $170 to $794Professionalmedian $776 · 10th to 90th $234 to $1,023
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 $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $776.25 Typical High $776.25 | Professional | None (both parts) | $194.98 | $776.25 | $776.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $338.84 Typical High $338.84 | Professional | 26 · Professional part | $87.10 | $338.84 | $338.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $436.52 Typical High $436.52 | Professional | TC · Technical part | $109.65 | $436.52 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $251.19 Typical High $794.33 | Facility | None | $151.36 | $251.19 | $794.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $275.42 Typical High $794.33 | Professional | None (both parts) | $204.17 | $275.42 | $794.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $120.23 Typical High $309.03 | Professional | 26 · Professional part | $79.43 | $120.23 | $309.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $151.36 Typical High $467.74 | Professional | TC · Technical part | $102.33 | $151.36 | $467.74 |
Moda Health Setting Facility Modifier None Typical Low $436.52 Median $776.25 Typical High $3,235.94 | Facility | None | $436.52 | $776.25 | $3,235.94 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $263.03 Median $776.25 Typical High $1,412.54 | Professional | None (both parts) | $263.03 | $776.25 | $1,412.54 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $338.84 Typical High $512.86 | Professional | 26 · Professional part | $100.00 | $338.84 | $512.86 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $436.52 Typical High $707.95 | Professional | TC · Technical part | $162.18 | $436.52 | $707.95 |
Premera BCBS Setting Facility Modifier None Typical Low $169.82 Median $234.42 Typical High $426.58 | Facility | None | $169.82 | $234.42 | $426.58 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None (both parts) | $1,023.29 | $1,023.29 | $1,023.29 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | 26 · Professional part | $398.11 | $398.11 | $398.11 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | TC · Technical part | $630.96 | $630.96 | $630.96 |
Providence Setting Facility Modifier None Typical Low $151.36 Median $323.59 Typical High $851.14 | Facility | None | $151.36 | $323.59 | $851.14 |
Providence Setting Professional Modifier None (both parts) Typical Low $223.87 Median $512.86 Typical High $794.33 | Professional | None (both parts) | $223.87 | $512.86 | $794.33 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $141.25 Typical High $346.74 | Professional | 26 · Professional part | $81.28 | $141.25 | $346.74 |
United Setting Professional Modifier None (both parts) Typical Low $218.78 Median $616.60 Typical High $660.69 | Professional | None (both parts) | $218.78 | $616.60 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $288.40 Typical High $309.03 | Professional | 26 · Professional part | $93.33 | $288.40 | $309.03 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $323.59 Typical High $398.11 | Professional | TC · Technical part | $125.89 | $323.59 | $398.11 |
4 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 $114.82 Median $389.05 Typical High $389.05 | Professional | 52 · Reduced service | $114.82 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $154.88 Typical High $154.88 | Professional | 53 · Discontinued | $45.71 | $154.88 | $154.88 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $123.03 Median $389.05 Typical High $389.05 | Professional | 52 · Reduced service | $123.03 | $389.05 | $389.05 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $154.88 Typical High $154.88 | Professional | 53 · Discontinued | $48.98 | $154.88 | $154.88 |
Where Alaska sits
The same service costs 5.4 times more in Alaska than in Texas. 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.
Alaska· 1st of 51
$741
AK $741TX $138
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.