How much rates vary
Facilitymedian $195 · 10th to 90th $170 to $282Professionalmedian $398 · 10th to 90th $91 to $501
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 $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $109.65 Typical High $194.98 | Professional | None (both parts) | $87.10 | $109.65 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $43.65 Typical High $87.10 | Professional | 26 · Professional part | $34.67 | $43.65 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $66.07 Typical High $109.65 | Professional | TC · Technical part | $52.48 | $66.07 | $109.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $199.53 Typical High $309.03 | Professional | None (both parts) | $131.83 | $199.53 | $309.03 |
Moda Health Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $281.84 | Facility | None | $194.98 | $194.98 | $281.84 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $89.13 Median $158.49 Typical High $194.98 | Professional | None (both parts) | $89.13 | $158.49 | $194.98 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $87.10 Typical High $151.36 | Professional | 26 · Professional part | $36.31 | $87.10 | $151.36 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $93.33 Typical High $109.65 | Professional | TC · Technical part | $53.70 | $93.33 | $109.65 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None (both parts) | $398.11 | $398.11 | $398.11 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | 26 · Professional part | $154.88 | $154.88 | $154.88 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | TC · Technical part | $239.88 | $239.88 | $239.88 |
Providence Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $239.88 | Facility | None | $169.82 | $169.82 | $239.88 |
Providence Setting Professional Modifier None (both parts) Typical Low $131.83 Median $1,819,700.86 Typical High $2,570,395.78 | Professional | None (both parts) | $131.83 | $1,819,700.86 | $2,570,395.78 |
United Setting Professional Modifier None (both parts) Typical Low $67.61 Median $501.19 Typical High $870.96 | Professional | None (both parts) | $67.61 | $501.19 | $870.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $109.65 Typical High $204.17 | Professional | 26 · Professional part | $38.02 | $109.65 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $389.05 Typical High $691.83 | Professional | TC · Technical part | $67.61 | $389.05 | $691.83 |
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 $43.65 Median $54.95 Typical High $97.72 | Professional | 52 · Reduced service | $43.65 | $54.95 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $21.88 Typical High $38.90 | Professional | 53 · Discontinued | $17.38 | $21.88 | $38.90 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $43.65 Median $97.72 Typical High $97.72 | Professional | 52 · Reduced service | $43.65 | $97.72 | $97.72 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $38.90 Typical High $38.90 | Professional | 53 · Discontinued | $17.78 | $38.90 | $38.90 |
Where Alaska sits
The same service costs 5.4 times more in Hawaii than in Kentucky. 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· 2nd of 51
$309
HI $309KY $57.54
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.