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 $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
Aetna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $524.81 Typical High $851.14 | Professional | None (both parts) | $338.84 | $524.81 | $851.14 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $70.79 Typical High $125.89 | Professional | 26 · Professional part | $51.29 | $70.79 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $457.09 Typical High $724.44 | Professional | TC · Technical part | $288.40 | $457.09 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $616.60 Median $912.01 Typical High $1,318.26 | Professional | None (both parts) | $616.60 | $912.01 | $1,318.26 |
Moda Health Setting Facility Modifier None Typical Low $213.80 Median $1,122.02 Typical High $2,187.76 | Facility | None | $213.80 | $1,122.02 | $2,187.76 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $354.81 Median $851.14 Typical High $1,548.82 | Professional | None (both parts) | $354.81 | $851.14 | $1,548.82 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $125.89 Typical High $263.03 | Professional | 26 · Professional part | $53.70 | $125.89 | $263.03 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $724.44 Typical High $1,348.96 | Professional | TC · Technical part | $302.00 | $724.44 | $1,348.96 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None (both parts) | $1,862.09 | $1,862.09 | $1,862.09 |
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 $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | TC · Technical part | $1,621.81 | $1,621.81 | $1,621.81 |
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 $575.44 Median $1,000.00 Typical High $1,230.27 | Professional | None (both parts) | $575.44 | $1,000.00 | $1,230.27 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $1,023.29 Typical High $1,778.28 | Professional | None (both parts) | $114.82 | $1,023.29 | $1,778.28 |
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 $338.84 Median $851.14 Typical High $1,479.11 | Professional | TC · Technical part | $338.84 | $851.14 | $1,479.11 |
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 $245.47 Typical High $426.58 | Professional | 52 · Reduced service | $169.82 | $245.47 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $97.72 Typical High $169.82 | Professional | 53 · Discontinued | $67.61 | $97.72 | $169.82 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $169.82 Median $426.58 Typical High $426.58 | Professional | 52 · Reduced service | $169.82 | $426.58 | $426.58 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $169.82 Typical High $169.82 | Professional | 53 · Discontinued | $67.61 | $169.82 | $169.82 |
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
$933
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.