How much rates vary
Facilitymedian $776 · 10th to 90th $126 to $2,692Professionalmedian $135 · 10th to 90th $69 to $257
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 $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $125.89 Typical High $125.89 | Professional | None (both parts) | $63.10 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $63.10 Typical High $63.10 | Professional | 26 · Professional part | $28.84 | $63.10 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $63.10 Typical High $63.10 | Professional | TC · Technical part | $34.67 | $63.10 | $63.10 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $85.11 Typical High $194.98 | Professional | None (both parts) | $61.66 | $85.11 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $35.48 Typical High $87.10 | Professional | 26 · Professional part | $27.54 | $35.48 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $45.71 Typical High $112.20 | Professional | TC · Technical part | $33.88 | $45.71 | $112.20 |
Moda Health Setting Facility Modifier None Typical Low $181.97 Median $831.76 Typical High $2,691.53 | Facility | None | $181.97 | $831.76 | $2,691.53 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $97.72 Median $125.89 Typical High $223.87 | Professional | None (both parts) | $97.72 | $125.89 | $223.87 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $63.10 Typical High $104.71 | Professional | 26 · Professional part | $38.90 | $63.10 | $104.71 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $63.10 Typical High $120.23 | Professional | TC · Technical part | $47.86 | $63.10 | $120.23 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None (both parts) | $257.04 | $257.04 | $257.04 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 26 · Professional part | $109.65 | $109.65 | $109.65 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | TC · Technical part | $144.54 | $144.54 | $144.54 |
Providence Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $173.78 | Facility | None | $123.03 | $123.03 | $173.78 |
Providence Setting Professional Modifier None (both parts) Typical Low $66.07 Median $87.10 Typical High $194.98 | Professional | None (both parts) | $66.07 | $87.10 | $194.98 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $37.15 Typical High $97.72 | Professional | 26 · Professional part | $27.54 | $37.15 | $97.72 |
Providence Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $41.69 Typical High $112.20 | Professional | TC · Technical part | $33.11 | $41.69 | $112.20 |
United Setting Professional Modifier None (both parts) Typical Low $54.95 Median $151.36 Typical High $302.00 | Professional | None (both parts) | $54.95 | $151.36 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $81.28 Typical High $162.18 | Professional | 26 · Professional part | $25.12 | $81.28 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $69.18 Typical High $138.04 | Professional | TC · Technical part | $27.54 | $69.18 | $138.04 |
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 $31.62 Median $63.10 Typical High $63.10 | Professional | 52 · Reduced service | $31.62 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $25.12 Typical High $25.12 | Professional | 53 · Discontinued | $12.59 | $25.12 | $25.12 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 52 · Reduced service | $63.10 | $63.10 | $63.10 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | 53 · Discontinued | $25.12 | $25.12 | $25.12 |
Where Alaska sits
The same service costs 3.6 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
$138
MN $141TX $38.90
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.