How much rates vary
Facilitymedian $81 · 10th to 90th $79 to $115Professionalmedian $89 · 10th to 90th $49 to $178
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 $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
Aetna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $40.74 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $28.18 Typical High $28.18 | Professional | 26 · Professional part | $12.30 | $28.18 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $51.29 Typical High $51.29 | Professional | TC · Technical part | $29.51 | $51.29 | $51.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $57.54 Typical High $128.82 | Professional | None (both parts) | $42.66 | $57.54 | $128.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $15.85 Typical High $38.02 | Professional | 26 · Professional part | $12.30 | $15.85 | $38.02 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $41.69 Typical High $95.50 | Professional | TC · Technical part | $30.20 | $41.69 | $95.50 |
Moda Health Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $112.20 | Facility | None | $79.43 | $79.43 | $112.20 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $60.26 Median $79.43 Typical High $154.88 | Professional | None (both parts) | $60.26 | $79.43 | $154.88 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $28.18 Typical High $44.67 | Professional | 26 · Professional part | $17.38 | $28.18 | $44.67 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $51.29 Typical High $51.29 | Professional | TC · Technical part | $37.15 | $51.29 | $51.29 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $177.83 | $177.83 | $177.83 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | 26 · Professional part | $48.98 | $48.98 | $48.98 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | TC · Technical part | $131.83 | $131.83 | $131.83 |
Providence Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $114.82 | Facility | None | $81.28 | $81.28 | $114.82 |
Providence Setting Professional Modifier None (both parts) Typical Low $46.77 Median $63.10 Typical High $123.03 | Professional | None (both parts) | $46.77 | $63.10 | $123.03 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $16.60 Typical High $42.66 | Professional | 26 · Professional part | $12.02 | $16.60 | $42.66 |
Providence Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $37.15 Typical High $102.33 | Professional | TC · Technical part | $28.18 | $37.15 | $102.33 |
United Setting Professional Modifier None (both parts) Typical Low $36.31 Median $100.00 Typical High $144.54 | Professional | None (both parts) | $36.31 | $100.00 | $144.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $35.48 Typical High $52.48 | Professional | 26 · Professional part | $11.22 | $35.48 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $63.10 Typical High $93.33 | Professional | TC · Technical part | $25.12 | $63.10 | $93.33 |
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 $20.42 Median $39.81 Typical High $39.81 | Professional | 52 · Reduced service | $20.42 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $15.85 Typical High $15.85 | Professional | 53 · Discontinued | $8.13 | $15.85 | $15.85 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 52 · Reduced service | $39.81 | $39.81 | $39.81 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | 53 · Discontinued | $15.85 | $15.85 | $15.85 |
Where Alaska sits
The same service costs 2.9 times more in Alaska 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· 1st of 51
$89.13
AK $89.13UT $30.90
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.