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 $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $457.09 Typical High $741.31 | Professional | None (both parts) | $302.00 | $457.09 | $741.31 |
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 $616.60 | Professional | TC · Technical part | $251.19 | $380.19 | $616.60 |
Cigna Setting Professional Modifier None (both parts) Typical Low $524.81 Median $794.33 Typical High $1,122.02 | Professional | None (both parts) | $524.81 | $794.33 | $1,122.02 |
Moda Health Setting Facility Modifier None Typical Low $316.23 Median $933.25 Typical High $1,348.96 | Facility | None | $316.23 | $933.25 | $1,348.96 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $323.59 Median $741.31 Typical High $1,348.96 | Professional | None (both parts) | $323.59 | $741.31 | $1,348.96 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $125.89 Typical High $263.03 | Professional | 26 · Professional part | $52.48 | $125.89 | $263.03 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $616.60 Typical High $1,148.15 | Professional | TC · Technical part | $251.19 | $616.60 | $1,148.15 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | None (both parts) | $1,584.89 | $1,584.89 | $1,584.89 |
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 $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | TC · Technical part | $1,380.38 | $1,380.38 | $1,380.38 |
Providence Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $977.24 | Facility | None | $676.08 | $676.08 | $977.24 |
Providence Setting Professional Modifier None (both parts) Typical Low $489.78 Median $851.14 Typical High $1,047.13 | Professional | None (both parts) | $489.78 | $851.14 | $1,047.13 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $851.14 Typical High $1,513.56 | Professional | None (both parts) | $104.71 | $851.14 | $1,513.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $162.18 Typical High $281.84 | Professional | 26 · Professional part | $54.95 | $162.18 | $281.84 |
United Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $691.83 Typical High $1,230.27 | Professional | TC · Technical part | $281.84 | $691.83 | $1,230.27 |
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 $151.36 Median $208.93 Typical High $371.54 | Professional | 52 · Reduced service | $151.36 | $208.93 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $85.11 Typical High $147.91 | Professional | 53 · Discontinued | $60.26 | $85.11 | $147.91 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $151.36 Median $371.54 Typical High $371.54 | Professional | 52 · Reduced service | $151.36 | $371.54 | $371.54 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $147.91 Typical High $147.91 | Professional | 53 · Discontinued | $60.26 | $147.91 | $147.91 |
Where Alaska sits
The same service costs 3.0 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
$794
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.