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 $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $77.62 Typical High $77.62 | Professional | None (both parts) | $39.81 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $33.11 Typical High $33.11 | Professional | 26 · Professional part | $14.79 | $33.11 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $44.67 Typical High $44.67 | Professional | TC · Technical part | $25.12 | $44.67 | $44.67 |
Cigna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $52.48 Typical High $120.23 | Professional | None (both parts) | $37.15 | $52.48 | $120.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $18.20 Typical High $43.65 | Professional | 26 · Professional part | $14.13 | $18.20 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $33.11 Typical High $74.13 | Professional | TC · Technical part | $22.91 | $33.11 | $74.13 |
Moda Health Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $112.20 | Facility | None | $77.62 | $77.62 | $112.20 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $53.70 Median $77.62 Typical High $134.90 | Professional | None (both parts) | $53.70 | $77.62 | $134.90 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $33.11 Typical High $52.48 | Professional | 26 · Professional part | $19.95 | $33.11 | $52.48 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $44.67 Typical High $81.28 | Professional | TC · Technical part | $33.11 | $44.67 | $81.28 |
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 $56.23 Median $56.23 Typical High $56.23 | Professional | 26 · Professional part | $56.23 | $56.23 | $56.23 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | TC · Technical part | $102.33 | $102.33 | $102.33 |
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 $40.74 Median $57.54 Typical High $117.49 | Professional | None (both parts) | $40.74 | $57.54 | $117.49 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $19.05 Typical High $50.12 | Professional | 26 · Professional part | $14.13 | $19.05 | $50.12 |
Providence Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $33.11 Typical High $77.62 | Professional | TC · Technical part | $23.44 | $33.11 | $77.62 |
United Setting Professional Modifier None (both parts) Typical Low $35.48 Median $97.72 Typical High $194.98 | Professional | None (both parts) | $35.48 | $97.72 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $41.69 Typical High $61.66 | Professional | 26 · Professional part | $12.88 | $41.69 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $54.95 Typical High $109.65 | Professional | TC · Technical part | $21.38 | $54.95 | $109.65 |
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 $19.50 Median $38.90 Typical High $38.90 | Professional | 52 · Reduced service | $19.50 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $15.49 Typical High $15.49 | Professional | 53 · Discontinued | $7.94 | $15.49 | $15.49 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | 52 · Reduced service | $38.90 | $38.90 | $38.90 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | 53 · Discontinued | $15.49 | $15.49 | $15.49 |
Where Alaska sits
The same service costs 2.7 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· 4th of 51
$77.62
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.