How much rates vary
Facilitymedian $501 · 10th to 90th $178 to $741Professionalmedian $501 · 10th to 90th $158 to $646
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 $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $501.19 Typical High $501.19 | Professional | None (both parts) | $141.25 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $331.13 Typical High $331.13 | Professional | 26 · Professional part | $89.13 | $331.13 | $331.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $165.96 Typical High $165.96 | Professional | TC · Technical part | $52.48 | $165.96 | $165.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $199.53 Typical High $489.78 | Professional | None (both parts) | $141.25 | $199.53 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $120.23 Typical High $316.23 | Professional | 26 · Professional part | $83.18 | $120.23 | $316.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $83.18 Typical High $177.83 | Professional | TC · Technical part | $53.70 | $83.18 | $177.83 |
Moda Health Setting Facility Modifier None Typical Low $177.83 Median $501.19 Typical High $707.95 | Facility | None | $177.83 | $501.19 | $707.95 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $158.49 Median $501.19 Typical High $501.19 | Professional | None (both parts) | $158.49 | $501.19 | $501.19 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $331.13 Typical High $501.19 | Professional | 26 · Professional part | $102.33 | $331.13 | $501.19 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $165.96 Typical High $165.96 | Professional | TC · Technical part | $58.88 | $165.96 | $165.96 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None (both parts) | $645.65 | $645.65 | $645.65 |
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 $245.47 Median $245.47 Typical High $245.47 | Professional | TC · Technical part | $245.47 | $245.47 | $245.47 |
Providence Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $741.31 | Facility | None | $512.86 | $512.86 | $741.31 |
Providence Setting Professional Modifier None (both parts) Typical Low $141.25 Median $223.87 Typical High $501.19 | Professional | None (both parts) | $141.25 | $223.87 | $501.19 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $138.04 Typical High $338.84 | Professional | 26 · Professional part | $83.18 | $138.04 | $338.84 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $309.03 Typical High $501.19 | Professional | None (both parts) | $158.49 | $309.03 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $281.84 Typical High $354.81 | Professional | 26 · Professional part | $93.33 | $281.84 | $354.81 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $35.48 Typical High $112.20 | Professional | TC · Technical part | $23.99 | $35.48 | $112.20 |
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 $70.79 Median $245.47 Typical High $245.47 | Professional | 52 · Reduced service | $70.79 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $100.00 Typical High $100.00 | Professional | 53 · Discontinued | $28.18 | $100.00 | $100.00 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $245.47 Typical High $245.47 | Professional | 52 · Reduced service | $79.43 | $245.47 | $245.47 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $100.00 Typical High $100.00 | Professional | 53 · Discontinued | $31.62 | $100.00 | $100.00 |
Where Alaska sits
The same service costs 4.2 times more in Alaska 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· 1st of 51
$501
AK $501FL $120
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.