How much rates vary
Facilitymedian $295 · 10th to 90th $50 to $427Professionalmedian $295 · 10th to 90th $107 to $398
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 $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $295.12 Typical High $295.12 | Professional | None (both parts) | $91.20 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $93.33 Typical High $93.33 | Professional | 26 · Professional part | $25.70 | $93.33 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $204.17 Typical High $204.17 | Professional | TC · Technical part | $66.07 | $204.17 | $204.17 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $186.21 Typical High $316.23 | Professional | None (both parts) | $87.10 | $186.21 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $51.29 Typical High $100.00 | Professional | 26 · Professional part | $22.91 | $51.29 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $134.90 Typical High $223.87 | Professional | TC · Technical part | $63.10 | $134.90 | $223.87 |
Moda Health Setting Facility Modifier None Typical Low $50.12 Median $295.12 Typical High $426.58 | Facility | None | $50.12 | $295.12 | $426.58 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $104.71 Median $295.12 Typical High $295.12 | Professional | None (both parts) | $104.71 | $295.12 | $295.12 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $91.20 Typical High $138.04 | Professional | 26 · Professional part | $39.81 | $91.20 | $138.04 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $204.17 Typical High $204.17 | Professional | TC · Technical part | $75.86 | $204.17 | $204.17 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None (both parts) | $398.11 | $398.11 | $398.11 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 26 · Professional part | $107.15 | $107.15 | $107.15 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | TC · Technical part | $288.40 | $288.40 | $288.40 |
Providence Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $426.58 | Facility | None | $295.12 | $295.12 | $426.58 |
Providence Setting Professional Modifier None (both parts) Typical Low $83.18 Median $199.53 Typical High $316.23 | Professional | None (both parts) | $83.18 | $199.53 | $316.23 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $54.95 Typical High $100.00 | Professional | 26 · Professional part | $22.91 | $54.95 | $100.00 |
Providence Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $147.91 Typical High $223.87 | Professional | TC · Technical part | $61.66 | $147.91 | $223.87 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $363.08 | Professional | None (both parts) | $141.25 | $141.25 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $128.82 Typical High $134.90 | Professional | 26 · Professional part | $38.90 | $128.82 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $14.79 Typical High $208.93 | Professional | TC · Technical part | $13.80 | $14.79 | $208.93 |
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 $45.71 Median $147.91 Typical High $147.91 | Professional | 52 · Reduced service | $45.71 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $58.88 Typical High $58.88 | Professional | 53 · Discontinued | $18.20 | $58.88 | $58.88 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $147.91 Typical High $147.91 | Professional | 52 · Reduced service | $50.12 | $147.91 | $147.91 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $58.88 Typical High $58.88 | Professional | 53 · Discontinued | $19.95 | $58.88 | $58.88 |
Where Alaska sits
The same service costs 4.2 times more in Nebraska 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.
Alaska· 2nd of 51
$295
NE $380FL $91.20
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.