How much rates vary
Facilitymedian $195 · 10th to 90th $89 to $214Professionalmedian $107 · 10th to 90th $79 to $195
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 Professional Modifier None (both parts) Typical Low $58.88 Median $79.43 Typical High $85.11 | Professional | None (both parts) | $58.88 | $79.43 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $20.42 Typical High $25.12 | Professional | 26 · Professional part | $17.38 | $20.42 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $60.26 Typical High $61.66 | Professional | TC · Technical part | $40.74 | $60.26 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $125.89 Typical High $147.91 | Facility | None | $72.44 | $125.89 | $147.91 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $125.89 | Professional | None (both parts) | $107.15 | $107.15 | $125.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $30.20 | Professional | 26 · Professional part | $25.70 | $25.70 | $30.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $81.28 Typical High $95.50 | Professional | TC · Technical part | $81.28 | $81.28 | $95.50 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $89.13 Median $194.98 Typical High $213.80 | Facility | None | $89.13 | $194.98 | $213.80 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $125.89 Median $194.98 Typical High $208.93 | Professional | None (both parts) | $125.89 | $194.98 | $208.93 |
MountainHealth Co-op Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | 26 · Professional part | $25.12 | $25.12 | $25.12 |
MountainHealth Co-op Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | TC · Technical part | $100.00 | $100.00 | $100.00 |
Providence Setting Facility Modifier None Typical Low $72.44 Median $125.89 Typical High $147.91 | Facility | None | $72.44 | $125.89 | $147.91 |
Providence Setting Professional Modifier None (both parts) Typical Low $66.07 Median $102.33 Typical High $125.89 | Professional | None (both parts) | $66.07 | $102.33 | $125.89 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $25.70 Typical High $30.20 | Professional | 26 · Professional part | $18.20 | $25.70 | $30.20 |
Providence Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $74.13 Typical High $95.50 | Professional | TC · Technical part | $47.86 | $74.13 | $95.50 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $107.15 Typical High $120.23 | Professional | None (both parts) | $91.20 | $107.15 | $120.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $31.62 Typical High $34.67 | Professional | 26 · Professional part | $26.30 | $31.62 | $34.67 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $75.86 Typical High $85.11 | Professional | TC · Technical part | $63.10 | $75.86 | $85.11 |
2 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 $29.51 Median $40.74 Typical High $42.66 | Professional | 52 · Reduced service | $29.51 | $40.74 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $16.22 Typical High $16.98 | Professional | 53 · Discontinued | $11.75 | $16.22 | $16.98 |
Where Montana 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.
Montana· 16th of 51
$107
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.