How much rates vary
Facilitymedian $631 · 10th to 90th $575 to $912Professionalmedian $631 · 10th to 90th $331 to $1,288
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 $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $630.96 Typical High $630.96 | Professional | None (both parts) | $295.12 | $630.96 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $257.04 Typical High $257.04 | Professional | 26 · Professional part | $120.23 | $257.04 | $257.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $380.19 Typical High $380.19 | Professional | TC · Technical part | $177.83 | $380.19 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $426.58 Typical High $977.24 | Professional | None (both parts) | $302.00 | $426.58 | $977.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $169.82 Typical High $407.38 | Professional | 26 · Professional part | $128.82 | $169.82 | $407.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $251.19 Typical High $588.84 | Professional | TC · Technical part | $199.53 | $251.19 | $588.84 |
Moda Health Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $912.01 | Facility | None | $630.96 | $630.96 | $912.01 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $389.05 Median $630.96 Typical High $630.96 | Professional | None (both parts) | $389.05 | $630.96 | $630.96 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $257.04 Typical High $257.04 | Professional | 26 · Professional part | $154.88 | $257.04 | $257.04 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $380.19 Typical High $380.19 | Professional | TC · Technical part | $234.42 | $380.19 | $380.19 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None (both parts) | $1,288.25 | $1,288.25 | $1,288.25 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | 26 · Professional part | $512.86 | $512.86 | $512.86 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | TC · Technical part | $758.58 | $758.58 | $758.58 |
Providence Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $831.76 | Facility | None | $575.44 | $575.44 | $831.76 |
Providence Setting Professional Modifier None (both parts) Typical Low $281.84 Median $389.05 Typical High $977.24 | Professional | None (both parts) | $281.84 | $389.05 | $977.24 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $154.88 Typical High $407.38 | Professional | 26 · Professional part | $120.23 | $154.88 | $407.38 |
Providence Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $234.42 Typical High $588.84 | Professional | TC · Technical part | $177.83 | $234.42 | $588.84 |
United Setting Professional Modifier None (both parts) Typical Low $257.04 Median $707.95 Typical High $1,023.29 | Professional | None (both parts) | $257.04 | $707.95 | $1,023.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $323.59 Typical High $478.63 | Professional | 26 · Professional part | $100.00 | $323.59 | $478.63 |
United Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $380.19 Typical High $575.44 | Professional | TC · Technical part | $151.36 | $380.19 | $575.44 |
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 $147.91 Median $316.23 Typical High $316.23 | Professional | 52 · Reduced service | $147.91 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $128.82 Typical High $128.82 | Professional | 53 · Discontinued | $60.26 | $128.82 | $128.82 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | 52 · Reduced service | $316.23 | $316.23 | $316.23 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | 53 · Discontinued | $128.82 | $128.82 | $128.82 |
Where Alaska sits
The same service costs 9.8 times more in Alaska than in New York. 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
$631
AK $631NY $64.57
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.