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 $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $173.78 Typical High $331.13 | Professional | None (both parts) | $134.90 | $173.78 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $91.20 Typical High $181.97 | Professional | 26 · Professional part | $72.44 | $91.20 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $87.10 Typical High $151.36 | Professional | TC · Technical part | $60.26 | $87.10 | $151.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $363.08 Typical High $537.03 | Professional | None (both parts) | $213.80 | $363.08 | $537.03 |
Moda Health Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $478.63 | Facility | None | $331.13 | $331.13 | $478.63 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $141.25 Median $331.13 Typical High $524.81 | Professional | None (both parts) | $141.25 | $331.13 | $524.81 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $181.97 Typical High $263.03 | Professional | 26 · Professional part | $75.86 | $181.97 | $263.03 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $151.36 Typical High $257.04 | Professional | TC · Technical part | $60.26 | $151.36 | $257.04 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None (both parts) | $645.65 | $645.65 | $645.65 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | 26 · Professional part | $323.59 | $323.59 | $323.59 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | TC · Technical part | $323.59 | $323.59 | $323.59 |
Providence Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $407.38 | Facility | None | $288.40 | $288.40 | $407.38 |
Providence Setting Professional Modifier None (both parts) Typical Low $213.80 Median $398.11 Typical High $436.52 | Professional | None (both parts) | $213.80 | $398.11 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $436.52 Typical High $758.58 | Professional | None (both parts) | $138.04 | $436.52 | $758.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $229.09 Typical High $416.87 | Professional | 26 · Professional part | $79.43 | $229.09 | $416.87 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $204.17 Typical High $354.81 | Professional | TC · Technical part | $72.44 | $204.17 | $354.81 |
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 $67.61 Median $87.10 Typical High $165.96 | Professional | 52 · Reduced service | $67.61 | $87.10 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $34.67 Typical High $66.07 | Professional | 53 · Discontinued | $26.92 | $34.67 | $66.07 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $165.96 Typical High $165.96 | Professional | 52 · Reduced service | $64.57 | $165.96 | $165.96 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $66.07 Typical High $66.07 | Professional | 53 · Discontinued | $26.30 | $66.07 | $66.07 |
Where Alaska sits
The same service costs 3.9 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
$398
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.