How much rates vary
Facilitymedian $347 · 10th to 90th $71 to $501Professionalmedian $363 · 10th to 90th $117 to $562
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 $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $346.74 Typical High $346.74 | Professional | None (both parts) | $102.33 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $141.25 Typical High $141.25 | Professional | 26 · Professional part | $37.15 | $141.25 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $208.93 Typical High $208.93 | Professional | TC · Technical part | $66.07 | $208.93 | $208.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $165.96 Typical High $354.81 | Professional | None (both parts) | $100.00 | $165.96 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $50.12 Typical High $134.90 | Professional | 26 · Professional part | $33.88 | $50.12 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $104.71 Typical High $234.42 | Professional | TC · Technical part | $64.57 | $104.71 | $234.42 |
Moda Health Setting Facility Modifier None Typical Low $70.79 Median $346.74 Typical High $501.19 | Facility | None | $70.79 | $346.74 | $501.19 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $114.82 Median $346.74 Typical High $346.74 | Professional | None (both parts) | $114.82 | $346.74 | $346.74 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $141.25 Typical High $194.98 | Professional | 26 · Professional part | $47.86 | $141.25 | $194.98 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $208.93 Typical High $208.93 | Professional | TC · Technical part | $74.13 | $208.93 | $208.93 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None (both parts) | $467.74 | $467.74 | $467.74 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | 26 · Professional part | $165.96 | $165.96 | $165.96 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | TC · Technical part | $309.03 | $309.03 | $309.03 |
Providence Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $467.74 | Facility | None | $331.13 | $331.13 | $467.74 |
Providence Setting Professional Modifier None (both parts) Typical Low $100.00 Median $165.96 Typical High $363.08 | Professional | None (both parts) | $100.00 | $165.96 | $363.08 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $57.54 Typical High $144.54 | Professional | 26 · Professional part | $34.67 | $57.54 | $144.54 |
Providence Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $107.15 Typical High $234.42 | Professional | TC · Technical part | $64.57 | $107.15 | $234.42 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $562.34 Typical High $588.84 | Professional | None (both parts) | $147.91 | $562.34 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $123.03 Typical High $128.82 | Professional | 26 · Professional part | $39.81 | $123.03 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $436.52 Typical High $467.74 | Professional | TC · Technical part | $107.15 | $436.52 | $467.74 |
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 $51.29 Median $173.78 Typical High $173.78 | Professional | 52 · Reduced service | $51.29 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $70.79 Typical High $70.79 | Professional | 53 · Discontinued | $20.42 | $70.79 | $70.79 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $173.78 Typical High $173.78 | Professional | 52 · Reduced service | $57.54 | $173.78 | $173.78 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $70.79 Typical High $70.79 | Professional | 53 · Discontinued | $22.91 | $70.79 | $70.79 |
Where Alaska sits
The same service costs 5.2 times more in North Dakota 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· 4th of 51
$363
ND $457FL $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.