How much rates vary
Facilitymedian $186 · 10th to 90th $135 to $234Professionalmedian $182 · 10th to 90th $120 to $282
Distribution of negotiated rates across all payers (price axis is log-scale). 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 Professional Modifier None (both parts) Typical Low $109.65 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $109.65 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $89.13 Typical High $89.13 | Professional | 26 · Professional part | $40.74 | $89.13 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $147.91 Typical High $147.91 | Professional | TC · Technical part | $69.18 | $147.91 | $147.91 |
BCBS Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None (both parts) | $64.57 | $64.57 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $181.97 Typical High $269.15 | Facility | None | $120.23 | $181.97 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $181.97 Typical High $245.47 | Professional | None (both parts) | $138.04 | $181.97 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $64.57 Typical High $70.79 | Professional | 26 · Professional part | $44.67 | $64.57 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $120.23 Typical High $162.18 | Professional | TC · Technical part | $93.33 | $120.23 | $162.18 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $177.83 Median $186.21 Typical High $218.78 | Facility | None | $177.83 | $186.21 | $218.78 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $120.23 Median $186.21 Typical High $199.53 | Professional | None (both parts) | $120.23 | $186.21 | $199.53 |
Providence Setting Facility Modifier None Typical Low $120.23 Median $181.97 Typical High $269.15 | Facility | None | $120.23 | $181.97 | $269.15 |
Providence Setting Professional Modifier None (both parts) Typical Low $114.82 Median $181.97 Typical High $190.55 | Professional | None (both parts) | $114.82 | $181.97 | $190.55 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $64.57 Typical High $66.07 | Professional | 26 · Professional part | $39.81 | $64.57 | $66.07 |
Providence Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $120.23 Typical High $123.03 | Professional | TC · Technical part | $74.13 | $120.23 | $123.03 |
United Setting Professional Modifier None (both parts) Typical Low $223.87 Median $281.84 Typical High $489.78 | Professional | None (both parts) | $223.87 | $281.84 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $44.67 Typical High $79.43 | Professional | 26 · Professional part | $43.65 | $44.67 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $234.42 Typical High $416.87 | Professional | TC · Technical part | $158.49 | $234.42 | $416.87 |
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 $54.95 Median $117.49 Typical High $117.49 | Professional | 52 · Reduced service | $54.95 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $46.77 Typical High $46.77 | Professional | 53 · Discontinued | $21.88 | $46.77 | $46.77 |
Where Montana 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.
Montana· 25th of 51
$182
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.