How much rates vary
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 $676.08 Median $676.08 Typical High $676.08 | Facility | None | $676.08 | $676.08 | $676.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $446.68 Typical High $707.95 | Professional | None (both parts) | $309.03 | $446.68 | $707.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $69.18 Typical High $125.89 | Professional | 26 · Professional part | $51.29 | $69.18 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $380.19 Typical High $537.03 | Professional | TC · Technical part | $251.19 | $380.19 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $467.74 Median $776.25 Typical High $1,023.29 | Professional | None (both parts) | $467.74 | $776.25 | $1,023.29 |
Moda Health Setting Facility Modifier None Typical Low $72.44 Median $724.44 Typical High $1,949.84 | Facility | None | $72.44 | $724.44 | $1,949.84 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $331.13 Median $676.08 Typical High $1,230.27 | Professional | None (both parts) | $331.13 | $676.08 | $1,230.27 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $125.89 Typical High $213.80 | Professional | 26 · Professional part | $52.48 | $125.89 | $213.80 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $537.03 Typical High $1,047.13 | Professional | TC · Technical part | $269.15 | $537.03 | $1,047.13 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | None (both parts) | $1,412.54 | $1,412.54 | $1,412.54 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | 26 · Professional part | $223.87 | $223.87 | $223.87 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | TC · Technical part | $1,202.26 | $1,202.26 | $1,202.26 |
Providence Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $891.25 | Facility | None | $630.96 | $630.96 | $891.25 |
Providence Setting Professional Modifier None (both parts) Typical Low $436.52 Median $870.96 Typical High $954.99 | Professional | None (both parts) | $436.52 | $870.96 | $954.99 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $776.25 Typical High $1,348.96 | Professional | None (both parts) | $117.49 | $776.25 | $1,348.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $162.18 Typical High $295.12 | Professional | 26 · Professional part | $54.95 | $162.18 | $295.12 |
United Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $616.60 Typical High $1,071.52 | Professional | TC · Technical part | $251.19 | $616.60 | $1,071.52 |
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 $134.90 Median $194.98 Typical High $331.13 | Professional | 52 · Reduced service | $134.90 | $194.98 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $77.62 Typical High $134.90 | Professional | 53 · Discontinued | $53.70 | $77.62 | $134.90 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $151.36 Median $331.13 Typical High $331.13 | Professional | 52 · Reduced service | $151.36 | $331.13 | $331.13 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $134.90 Typical High $134.90 | Professional | 53 · Discontinued | $61.66 | $134.90 | $134.90 |
Where Alaska sits
The same service costs 3.2 times more in Alaska than in New Mexico. 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
$776
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.