How much rates vary
Facilitymedian $186 · 10th to 90th $162 to $269Professionalmedian $162 · 10th to 90th $83 to $324
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 $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $162.18 Typical High $162.18 | Professional | None (both parts) | $66.07 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $44.67 Typical High $44.67 | Professional | 26 · Professional part | $18.62 | $44.67 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $117.49 Typical High $117.49 | Professional | TC · Technical part | $47.86 | $117.49 | $117.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $97.72 Typical High $234.42 | Professional | None (both parts) | $56.23 | $97.72 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $24.55 Typical High $60.26 | Professional | 26 · Professional part | $18.62 | $24.55 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $75.86 Typical High $177.83 | Professional | TC · Technical part | $38.02 | $75.86 | $177.83 |
Moda Health Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $229.09 | Facility | None | $162.18 | $162.18 | $229.09 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $125.89 Median $162.18 Typical High $346.74 | Professional | None (both parts) | $125.89 | $162.18 | $346.74 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $44.67 Typical High $77.62 | Professional | 26 · Professional part | $26.92 | $44.67 | $77.62 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $117.49 Typical High $263.03 | Professional | TC · Technical part | $77.62 | $117.49 | $263.03 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None (both parts) | $323.59 | $323.59 | $323.59 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 26 · Professional part | $77.62 | $77.62 | $77.62 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | TC · Technical part | $245.47 | $245.47 | $245.47 |
Providence Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $269.15 | Facility | None | $186.21 | $186.21 | $269.15 |
Providence Setting Professional Modifier None (both parts) Typical Low $74.13 Median $107.15 Typical High $204.17 | Professional | None (both parts) | $74.13 | $107.15 | $204.17 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $25.70 Typical High $63.10 | Professional | 26 · Professional part | $19.05 | $25.70 | $63.10 |
Providence Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $70.79 Typical High $190.55 | Professional | TC · Technical part | $45.71 | $70.79 | $190.55 |
United Setting Professional Modifier None (both parts) Typical Low $60.26 Median $162.18 Typical High $323.59 | Professional | None (both parts) | $60.26 | $162.18 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $53.70 Typical High $107.15 | Professional | 26 · Professional part | $17.38 | $53.70 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $107.15 Typical High $234.42 | Professional | TC · Technical part | $42.66 | $107.15 | $234.42 |
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 $37.15 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $37.15 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $14.79 | $32.36 | $32.36 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $81.28 | $81.28 | $81.28 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $32.36 | $32.36 | $32.36 |
Where Alaska sits
The same service costs 3.5 times more in North Dakota than in Kentucky. 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
$162
ND $186KY $53.70
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.