How much rates vary
Facilitymedian $562 · 10th to 90th $501 to $603Professionalmedian $427 · 10th to 90th $309 to $562
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 $165.96 Median $331.13 Typical High $389.05 | Professional | None (both parts) | $165.96 | $331.13 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $131.83 Typical High $154.88 | Professional | 26 · Professional part | $93.33 | $131.83 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $194.98 Typical High $234.42 | Professional | TC · Technical part | $154.88 | $194.98 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $588.84 | Facility | None | $501.19 | $501.19 | $588.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $426.58 Typical High $501.19 | Professional | None (both parts) | $426.58 | $426.58 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $169.82 Typical High $199.53 | Professional | 26 · Professional part | $169.82 | $169.82 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $251.19 Typical High $295.12 | Professional | TC · Technical part | $251.19 | $251.19 | $295.12 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $645.65 | Facility | None | $562.34 | $562.34 | $645.65 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $363.08 Median $562.34 Typical High $602.56 | Professional | None (both parts) | $363.08 | $562.34 | $602.56 |
MountainHealth Co-op Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | 26 · Professional part | $144.54 | $144.54 | $144.54 |
MountainHealth Co-op Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | TC · Technical part | $218.78 | $218.78 | $218.78 |
Providence Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $588.84 | Facility | None | $501.19 | $501.19 | $588.84 |
Providence Setting Professional Modifier None (both parts) Typical Low $302.00 Median $426.58 Typical High $501.19 | Professional | None (both parts) | $302.00 | $426.58 | $501.19 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $169.82 Typical High $199.53 | Professional | 26 · Professional part | $123.03 | $169.82 | $199.53 |
Providence Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $251.19 Typical High $295.12 | Professional | TC · Technical part | $181.97 | $251.19 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $407.38 Median $467.74 Typical High $537.03 | Professional | None (both parts) | $407.38 | $467.74 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $186.21 Typical High $204.17 | Professional | 26 · Professional part | $162.18 | $186.21 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $281.84 Typical High $309.03 | Professional | TC · Technical part | $245.47 | $281.84 | $309.03 |
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 $83.18 Median $165.96 Typical High $194.98 | Professional | 52 · Reduced service | $83.18 | $165.96 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $66.07 Typical High $77.62 | Professional | 53 · Discontinued | $33.11 | $66.07 | $77.62 |
Where Montana 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.
Montana· 9th of 51
$427
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.