How much rates vary
Facilitymedian $407 · 10th to 90th $54 to $776Professionalmedian $62 · 10th to 90th $36 to $110
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 Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $66.07 | Facility | None | $53.70 | $53.70 | $66.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $53.70 Typical High $70.79 | Professional | None (both parts) | $30.20 | $53.70 | $70.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $18.62 Typical High $19.95 | Professional | 26 · Professional part | $8.51 | $18.62 | $19.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $34.67 Typical High $47.86 | Professional | TC · Technical part | $21.88 | $34.67 | $47.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $42.66 Typical High $85.11 | Professional | None (both parts) | $30.20 | $42.66 | $85.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $10.47 Typical High $25.12 | Professional | 26 · Professional part | $7.94 | $10.47 | $25.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $32.36 Typical High $60.26 | Professional | TC · Technical part | $21.38 | $32.36 | $60.26 |
Moda Health Setting Facility Modifier None Typical Low $66.07 Median $501.19 Typical High $776.25 | Facility | None | $66.07 | $501.19 | $776.25 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $47.86 Median $53.70 Typical High $100.00 | Professional | None (both parts) | $47.86 | $53.70 | $100.00 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $18.62 Typical High $30.90 | Professional | 26 · Professional part | $11.48 | $18.62 | $30.90 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $34.67 Typical High $61.66 | Professional | TC · Technical part | $32.36 | $34.67 | $61.66 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None (both parts) | $109.65 | $109.65 | $109.65 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | 26 · Professional part | $32.36 | $32.36 | $32.36 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | TC · Technical part | $77.62 | $77.62 | $77.62 |
Providence Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $72.44 | Facility | None | $50.12 | $50.12 | $72.44 |
Providence Setting Professional Modifier None (both parts) Typical Low $30.20 Median $47.86 Typical High $81.28 | Professional | None (both parts) | $30.20 | $47.86 | $81.28 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $10.96 Typical High $28.18 | Professional | 26 · Professional part | $7.94 | $10.96 | $28.18 |
Providence Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $33.11 Typical High $60.26 | Professional | TC · Technical part | $21.38 | $33.11 | $60.26 |
United Setting Professional Modifier None (both parts) Typical Low $30.90 Median $85.11 Typical High $169.82 | Professional | None (both parts) | $30.90 | $85.11 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $23.99 Typical High $47.86 | Professional | 26 · Professional part | $7.41 | $23.99 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $61.66 Typical High $123.03 | Professional | TC · Technical part | $23.44 | $61.66 | $123.03 |
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 $14.13 Median $26.92 Typical High $26.92 | Professional | 52 · Reduced service | $14.13 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $10.72 Typical High $10.72 | Professional | 53 · Discontinued | $5.75 | $10.72 | $10.72 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | 52 · Reduced service | $26.92 | $26.92 | $26.92 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | 53 · Discontinued | $10.72 | $10.72 | $10.72 |
Where Alaska sits
The same service costs 2.5 times more in Minnesota than in Texas. 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· 2nd of 51
$67.61
MN $67.61TX $26.92
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.