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 $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $97.72 Typical High $169.82 | Professional | None (both parts) | $74.13 | $97.72 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $43.65 Typical High $83.18 | Professional | 26 · Professional part | $33.11 | $43.65 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $52.48 Typical High $89.13 | Professional | TC · Technical part | $40.74 | $52.48 | $89.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $144.54 Typical High $269.15 | Professional | None (both parts) | $109.65 | $144.54 | $269.15 |
Moda Health Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $245.47 | Facility | None | $169.82 | $169.82 | $245.47 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $77.62 Median $169.82 Typical High $281.84 | Professional | None (both parts) | $77.62 | $169.82 | $281.84 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $83.18 Typical High $123.03 | Professional | 26 · Professional part | $34.67 | $83.18 | $123.03 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $89.13 Typical High $165.96 | Professional | TC · Technical part | $40.74 | $89.13 | $165.96 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None (both parts) | $331.13 | $331.13 | $331.13 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | 26 · Professional part | $144.54 | $144.54 | $144.54 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | TC · Technical part | $190.55 | $190.55 | $190.55 |
Providence Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $218.78 | Facility | None | $154.88 | $154.88 | $218.78 |
Providence Setting Professional Modifier None (both parts) Typical Low $109.65 Median $204.17 Typical High $229.09 | Professional | None (both parts) | $109.65 | $204.17 | $229.09 |
United Setting Professional Modifier None (both parts) Typical Low $79.43 Median $213.80 Typical High $371.54 | Professional | None (both parts) | $79.43 | $213.80 | $371.54 |
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 $37.15 Median $45.71 Typical High $85.11 | Professional | 52 · Reduced service | $37.15 | $45.71 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $18.20 Typical High $34.67 | Professional | 53 · Discontinued | $14.79 | $18.20 | $34.67 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $37.15 | $85.11 | $85.11 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $14.79 | $34.67 | $34.67 |
Where Alaska sits
The same service costs 3.0 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
$204
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.