How much rates vary
Facilitymedian $389 · 10th to 90th $65 to $562Professionalmedian $389 · 10th to 90th $117 to $537
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 $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $389.05 Typical High $389.05 | Professional | None (both parts) | $117.49 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $125.89 Typical High $125.89 | Professional | 26 · Professional part | $33.11 | $125.89 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $263.03 Typical High $263.03 | Professional | TC · Technical part | $85.11 | $263.03 | $263.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $173.78 Typical High $407.38 | Professional | None (both parts) | $112.20 | $173.78 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $46.77 Typical High $117.49 | Professional | 26 · Professional part | $30.20 | $46.77 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $125.89 Typical High $288.40 | Professional | TC · Technical part | $81.28 | $125.89 | $288.40 |
Moda Health Setting Facility Modifier None Typical Low $64.57 Median $389.05 Typical High $562.34 | Facility | None | $64.57 | $389.05 | $562.34 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $131.83 Median $389.05 Typical High $389.05 | Professional | None (both parts) | $131.83 | $389.05 | $389.05 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $125.89 Typical High $177.83 | Professional | 26 · Professional part | $42.66 | $125.89 | $177.83 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $263.03 Typical High $263.03 | Professional | TC · Technical part | $95.50 | $263.03 | $263.03 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None (both parts) | $537.03 | $537.03 | $537.03 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | 26 · Professional part | $144.54 | $144.54 | $144.54 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | TC · Technical part | $389.05 | $389.05 | $389.05 |
Providence Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $537.03 | Facility | None | $380.19 | $380.19 | $537.03 |
Providence Setting Professional Modifier None (both parts) Typical Low $104.71 Median $190.55 Typical High $407.38 | Professional | None (both parts) | $104.71 | $190.55 | $407.38 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $51.29 Typical High $125.89 | Professional | 26 · Professional part | $30.20 | $51.29 | $125.89 |
Providence Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $138.04 Typical High $302.00 | Professional | TC · Technical part | $81.28 | $138.04 | $302.00 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $120.23 Typical High $309.03 | Professional | None (both parts) | $117.49 | $120.23 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $107.15 Typical High $114.82 | Professional | 26 · Professional part | $35.48 | $107.15 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $11.48 Median $12.30 Typical High $173.78 | Professional | TC · Technical part | $11.48 | $12.30 | $173.78 |
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 $58.88 Median $194.98 Typical High $194.98 | Professional | 52 · Reduced service | $58.88 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $77.62 Typical High $77.62 | Professional | 53 · Discontinued | $23.44 | $77.62 | $77.62 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $194.98 Typical High $194.98 | Professional | 52 · Reduced service | $66.07 | $194.98 | $194.98 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $77.62 Typical High $77.62 | Professional | 53 · Discontinued | $26.30 | $77.62 | $77.62 |
Where Alaska sits
The same service costs 4.5 times more in Alaska than in Washington, DC. 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
$389
AK $389DC $87.10
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.