How much rates vary
Facilitymedian $3,467 · 10th to 90th $3,236 to $4,898Professionalmedian $4,467 · 10th to 90th $1,698 to $7,244
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 $3,467.37 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,467.37 | $3,467.37 | $3,467.37 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $1,995.26 Typical High $3,467.37 | Professional | None (both parts) | $1,548.82 | $1,995.26 | $3,467.37 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $371.54 Typical High $741.31 | Professional | 26 · Professional part | $295.12 | $371.54 | $741.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,258.93 Median $1,621.81 Typical High $2,691.53 | Professional | TC · Technical part | $1,258.93 | $1,621.81 | $2,691.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $2,398.83 Median $3,801.89 Typical High $5,495.41 | Professional | None (both parts) | $2,398.83 | $3,801.89 | $5,495.41 |
Moda Health Setting Facility Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $4,897.79 | Facility | None | $3,467.37 | $3,467.37 | $4,897.79 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $1,698.24 Median $3,467.37 Typical High $6,456.54 | Professional | None (both parts) | $1,698.24 | $3,467.37 | $6,456.54 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $741.31 Typical High $1,096.48 | Professional | 26 · Professional part | $309.03 | $741.31 | $1,096.48 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $1,348.96 Median $2,691.53 Typical High $5,248.07 | Professional | TC · Technical part | $1,348.96 | $2,691.53 | $5,248.07 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $7,244.36 Median $7,244.36 Typical High $7,244.36 | Professional | None (both parts) | $7,244.36 | $7,244.36 | $7,244.36 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | 26 · Professional part | $1,318.26 | $1,318.26 | $1,318.26 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $5,888.44 Median $5,888.44 Typical High $5,888.44 | Professional | TC · Technical part | $5,888.44 | $5,888.44 | $5,888.44 |
Providence Setting Facility Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $4,677.35 | Facility | None | $3,235.94 | $3,235.94 | $4,677.35 |
Providence Setting Professional Modifier None (both parts) Typical Low $2,398.83 Median $4,365.16 Typical High $4,897.79 | Professional | None (both parts) | $2,398.83 | $4,365.16 | $4,897.79 |
United Setting Professional Modifier None (both parts) Typical Low $251.19 Median $4,466.84 Typical High $7,762.47 | Professional | None (both parts) | $251.19 | $4,466.84 | $7,762.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $933.25 Typical High $1,621.81 | Professional | 26 · Professional part | $323.59 | $933.25 | $1,621.81 |
United Setting Professional Modifier TC · Technical part Typical Low $1,288.25 Median $3,467.37 Typical High $6,165.95 | Professional | TC · Technical part | $1,288.25 | $3,467.37 | $6,165.95 |
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 $776.25 Median $977.24 Typical High $1,737.80 | Professional | 52 · Reduced service | $776.25 | $977.24 | $1,737.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $309.03 Median $389.05 Typical High $691.83 | Professional | 53 · Discontinued | $309.03 | $389.05 | $691.83 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $776.25 Median $1,737.80 Typical High $1,737.80 | Professional | 52 · Reduced service | $776.25 | $1,737.80 | $1,737.80 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $309.03 Median $691.83 Typical High $691.83 | Professional | 53 · Discontinued | $309.03 | $691.83 | $691.83 |
Where Alaska sits
The same service costs 3.2 times more in Alaska than in Texas. 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
$4,467
AK $4,467TX $1,413
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.