How much rates vary
Facilitymedian $151 · 10th to 90th $115 to $219Professionalmedian $151 · 10th to 90th $79 to $263
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 $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $70.79 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $52.48 Typical High $52.48 | Professional | 26 · Professional part | $22.91 | $52.48 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $100.00 Typical High $100.00 | Professional | TC · Technical part | $48.98 | $100.00 | $100.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $89.13 Typical High $204.17 | Professional | None (both parts) | $70.79 | $89.13 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $28.18 Typical High $70.79 | Professional | 26 · Professional part | $22.39 | $28.18 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $61.66 Typical High $138.04 | Professional | TC · Technical part | $48.98 | $61.66 | $138.04 |
Moda Health Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $218.78 | Facility | None | $151.36 | $151.36 | $218.78 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $109.65 Median $151.36 Typical High $223.87 | Professional | None (both parts) | $109.65 | $151.36 | $223.87 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $52.48 Typical High $81.28 | Professional | 26 · Professional part | $42.66 | $52.48 | $81.28 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $100.00 Typical High $100.00 | Professional | TC · Technical part | $60.26 | $100.00 | $100.00 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $263.03 | $263.03 | $263.03 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 26 · Professional part | $85.11 | $85.11 | $85.11 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | TC · Technical part | $177.83 | $177.83 | $177.83 |
Providence Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $165.96 | Facility | None | $114.82 | $114.82 | $165.96 |
Providence Setting Professional Modifier None (both parts) Typical Low $70.79 Median $102.33 Typical High $199.53 | Professional | None (both parts) | $70.79 | $102.33 | $199.53 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $30.20 Typical High $79.43 | Professional | 26 · Professional part | $21.88 | $30.20 | $79.43 |
Providence Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $69.18 Typical High $138.04 | Professional | TC · Technical part | $46.77 | $69.18 | $138.04 |
United Setting Professional Modifier None (both parts) Typical Low $66.07 Median $186.21 Typical High $269.15 | Professional | None (both parts) | $66.07 | $186.21 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $67.61 Typical High $97.72 | Professional | 26 · Professional part | $20.42 | $67.61 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $120.23 Typical High $173.78 | Professional | TC · Technical part | $45.71 | $120.23 | $173.78 |
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 $35.48 Median $75.86 Typical High $75.86 | Professional | 52 · Reduced service | $35.48 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $30.90 Typical High $30.90 | Professional | 53 · Discontinued | $14.13 | $30.90 | $30.90 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | 52 · Reduced service | $75.86 | $75.86 | $75.86 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 53 · Discontinued | $30.90 | $30.90 | $30.90 |
Where Alaska sits
The same service costs 4.9 times more in Nebraska 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· 2nd of 51
$151
NE $155UT $31.62
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.