How much rates vary
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 $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $371.54 Typical High $371.54 | Professional | None (both parts) | $104.71 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $218.78 Typical High $218.78 | Professional | 26 · Professional part | $57.54 | $218.78 | $218.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $147.91 Typical High $147.91 | Professional | TC · Technical part | $46.77 | $147.91 | $147.91 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $147.91 Typical High $363.08 | Professional | None (both parts) | $100.00 | $147.91 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $81.28 Typical High $213.80 | Professional | 26 · Professional part | $53.70 | $81.28 | $213.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $69.18 Typical High $158.49 | Professional | TC · Technical part | $45.71 | $69.18 | $158.49 |
Moda Health Setting Facility Modifier None Typical Low $117.49 Median $371.54 Typical High $524.81 | Facility | None | $117.49 | $371.54 | $524.81 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $112.20 Median $371.54 Typical High $371.54 | Professional | None (both parts) | $112.20 | $371.54 | $371.54 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $218.78 Typical High $323.59 | Professional | 26 · Professional part | $75.86 | $218.78 | $323.59 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $147.91 Typical High $147.91 | Professional | TC · Technical part | $53.70 | $147.91 | $147.91 |
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 $257.04 Median $257.04 Typical High $257.04 | Professional | 26 · Professional part | $257.04 | $257.04 | $257.04 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | TC · Technical part | $218.78 | $218.78 | $218.78 |
Providence Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $537.03 | Facility | None | $371.54 | $371.54 | $537.03 |
Providence Setting Professional Modifier None (both parts) Typical Low $102.33 Median $173.78 Typical High $380.19 | Professional | None (both parts) | $102.33 | $173.78 | $380.19 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $93.33 Typical High $223.87 | Professional | 26 · Professional part | $53.70 | $93.33 | $223.87 |
Providence Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $79.43 Typical High $165.96 | Professional | TC · Technical part | $45.71 | $79.43 | $165.96 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $194.98 Typical High $354.81 | Professional | None (both parts) | $117.49 | $194.98 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $190.55 Typical High $229.09 | Professional | 26 · Professional part | $58.88 | $190.55 | $229.09 |
United Setting Professional Modifier TC · Technical part Typical Low $6.61 Median $10.00 Typical High $102.33 | Professional | TC · Technical part | $6.61 | $10.00 | $102.33 |
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 $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $51.29 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $20.89 | $74.13 | $74.13 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $56.23 | $186.21 | $186.21 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $22.91 | $74.13 | $74.13 |
Where Alaska sits
The same service costs 4.5 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
$372
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.