How much rates vary
Facilitymedian $1,122 · 10th to 90th $355 to $1,585Professionalmedian $977 · 10th to 90th $389 to $1,778
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 $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
Aetna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $524.81 Typical High $912.01 | Professional | None (both parts) | $363.08 | $524.81 | $912.01 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $100.00 Typical High $190.55 | Professional | 26 · Professional part | $77.62 | $100.00 | $190.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $416.87 Typical High $645.65 | Professional | TC · Technical part | $281.84 | $416.87 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $588.84 Median $954.99 Typical High $1,258.93 | Professional | None (both parts) | $588.84 | $954.99 | $1,258.93 |
Moda Health Setting Facility Modifier None Typical Low $354.81 Median $1,202.26 Typical High $1,584.89 | Facility | None | $354.81 | $1,202.26 | $1,584.89 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $380.19 Median $831.76 Typical High $1,548.82 | Professional | None (both parts) | $380.19 | $831.76 | $1,548.82 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $190.55 Typical High $302.00 | Professional | 26 · Professional part | $81.28 | $190.55 | $302.00 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $645.65 Typical High $1,258.93 | Professional | TC · Technical part | $295.12 | $645.65 | $1,258.93 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | None (both parts) | $1,778.28 | $1,778.28 | $1,778.28 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | 26 · Professional part | $338.84 | $338.84 | $338.84 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | TC · Technical part | $1,445.44 | $1,445.44 | $1,445.44 |
Providence Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $1,122.02 | Facility | None | $794.33 | $794.33 | $1,122.02 |
Providence Setting Professional Modifier None (both parts) Typical Low $537.03 Median $1,000.00 Typical High $1,174.90 | Professional | None (both parts) | $537.03 | $1,000.00 | $1,174.90 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $977.24 Typical High $1,698.24 | Professional | None (both parts) | $141.25 | $977.24 | $1,698.24 |
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 $169.82 Median $251.19 Typical High $416.87 | Professional | 52 · Reduced service | $169.82 | $251.19 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $100.00 Typical High $165.96 | Professional | 53 · Discontinued | $67.61 | $100.00 | $165.96 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $181.97 Median $416.87 Typical High $416.87 | Professional | 52 · Reduced service | $181.97 | $416.87 | $416.87 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $165.96 Typical High $165.96 | Professional | 53 · Discontinued | $72.44 | $165.96 | $165.96 |
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
$977
AK $977NM $302
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.