How much rates vary
Facilitymedian $1,905 · 10th to 90th $1,820 to $7,079Professionalmedian $2,138 · 10th to 90th $933 to $3,981
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 $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $812.83 Median $1,174.90 Typical High $1,819.70 | Professional | None (both parts) | $812.83 | $1,174.90 | $1,819.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $147.91 Typical High $281.84 | Professional | 26 · Professional part | $114.82 | $147.91 | $281.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $1,096.48 Typical High $1,548.82 | Professional | TC · Technical part | $707.95 | $1,096.48 | $1,548.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $1,995.26 Typical High $2,754.23 | Professional | None (both parts) | $1,318.26 | $1,995.26 | $2,754.23 |
Moda Health Setting Facility Modifier None Typical Low $1,819.70 Median $2,630.27 Typical High $7,079.46 | Facility | None | $1,819.70 | $2,630.27 | $7,079.46 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,819.70 Typical High $3,235.94 | Professional | None (both parts) | $933.25 | $1,819.70 | $3,235.94 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $281.84 Typical High $389.05 | Professional | 26 · Professional part | $117.49 | $281.84 | $389.05 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $1,548.82 Typical High $2,818.38 | Professional | TC · Technical part | $812.83 | $1,548.82 | $2,818.38 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $3,981.07 Median $3,981.07 Typical High $3,981.07 | Professional | None (both parts) | $3,981.07 | $3,981.07 | $3,981.07 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | 26 · Professional part | $489.78 | $489.78 | $489.78 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Professional | TC · Technical part | $3,467.37 | $3,467.37 | $3,467.37 |
Providence Setting Facility Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $2,754.23 | Facility | None | $1,905.46 | $1,905.46 | $2,754.23 |
Providence Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $2,137.96 Typical High $2,630.27 | Professional | None (both parts) | $1,230.27 | $2,137.96 | $2,630.27 |
United Setting Professional Modifier None (both parts) Typical Low $851.14 Median $2,137.96 Typical High $3,715.35 | Professional | None (both parts) | $851.14 | $2,137.96 | $3,715.35 |
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 $407.38 Median $588.84 Typical High $912.01 | Professional | 52 · Reduced service | $407.38 | $588.84 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $234.42 Typical High $363.08 | Professional | 53 · Discontinued | $162.18 | $234.42 | $363.08 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $407.38 Median $912.01 Typical High $912.01 | Professional | 52 · Reduced service | $407.38 | $912.01 | $912.01 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $363.08 Typical High $363.08 | Professional | 53 · Discontinued | $162.18 | $363.08 | $363.08 |
Where Alaska sits
The same service costs 2.9 times more in Alaska than in Texas. 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
$2,138
AK $2,138TX $741
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.