How much rates vary
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 $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $75.86 Typical High $95.50 | Professional | None (both parts) | $43.65 | $75.86 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $23.44 Typical High $26.92 | Professional | 26 · Professional part | $10.96 | $23.44 | $26.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $52.48 Typical High $64.57 | Professional | TC · Technical part | $33.11 | $52.48 | $64.57 |
Cigna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $69.18 Typical High $120.23 | Professional | None (both parts) | $42.66 | $69.18 | $120.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $15.49 Typical High $35.48 | Professional | 26 · Professional part | $10.23 | $15.49 | $35.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $52.48 Typical High $91.20 | Professional | TC · Technical part | $32.36 | $52.48 | $91.20 |
Moda Health Setting Facility Modifier None Typical Low $109.65 Median $851.14 Typical High $1,621.81 | Facility | None | $109.65 | $851.14 | $1,621.81 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $70.79 Median $75.86 Typical High $147.91 | Professional | None (both parts) | $70.79 | $75.86 | $147.91 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $23.44 Typical High $41.69 | Professional | 26 · Professional part | $16.60 | $23.44 | $41.69 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $52.48 Typical High $104.71 | Professional | TC · Technical part | $50.12 | $52.48 | $104.71 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $158.49 | $158.49 | $158.49 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | 26 · Professional part | $40.74 | $40.74 | $40.74 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | TC · Technical part | $117.49 | $117.49 | $117.49 |
Providence Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $104.71 | Facility | None | $72.44 | $72.44 | $104.71 |
Providence Setting Professional Modifier None (both parts) Typical Low $45.71 Median $79.43 Typical High $120.23 | Professional | None (both parts) | $45.71 | $79.43 | $120.23 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $16.22 Typical High $35.48 | Professional | 26 · Professional part | $10.23 | $16.22 | $35.48 |
Providence Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $56.23 Typical High $91.20 | Professional | TC · Technical part | $32.36 | $56.23 | $91.20 |
United Setting Professional Modifier None (both parts) Typical Low $51.29 Median $141.25 Typical High $281.84 | Professional | None (both parts) | $51.29 | $141.25 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $37.15 Typical High $74.13 | Professional | 26 · Professional part | $11.22 | $37.15 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $104.71 Typical High $190.55 | Professional | TC · Technical part | $39.81 | $104.71 | $190.55 |
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 $21.38 Median $38.02 Typical High $38.02 | Professional | 52 · Reduced service | $21.38 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $15.14 Typical High $15.14 | Professional | 53 · Discontinued | $8.51 | $15.14 | $15.14 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | 52 · Reduced service | $38.02 | $38.02 | $38.02 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | 53 · Discontinued | $15.14 | $15.14 | $15.14 |
Where Alaska sits
The same service costs 3.3 times more in Minnesota than in Utah. 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· 3rd of 51
$95.50
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.