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 $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $154.88 Typical High $234.42 | Professional | None (both parts) | $102.33 | $154.88 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $85.11 Typical High $147.91 | Professional | 26 · Professional part | $58.88 | $85.11 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $67.61 Typical High $97.72 | Professional | TC · Technical part | $44.67 | $67.61 | $97.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $245.47 Typical High $389.05 | Professional | None (both parts) | $151.36 | $245.47 | $389.05 |
Moda Health Setting Facility Modifier None Typical Low $234.42 Median $338.84 Typical High $354.81 | Facility | None | $234.42 | $338.84 | $354.81 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $112.20 Median $234.42 Typical High $426.58 | Professional | None (both parts) | $112.20 | $234.42 | $426.58 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $147.91 Typical High $234.42 | Professional | 26 · Professional part | $61.66 | $147.91 | $234.42 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $87.10 Typical High $162.18 | Professional | TC · Technical part | $50.12 | $87.10 | $162.18 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None (both parts) | $457.09 | $457.09 | $457.09 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | 26 · Professional part | $263.03 | $263.03 | $263.03 |
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 $213.80 Median $213.80 Typical High $302.00 | Facility | None | $213.80 | $213.80 | $302.00 |
Providence Setting Professional Modifier None (both parts) Typical Low $151.36 Median $275.42 Typical High $302.00 | Professional | None (both parts) | $151.36 | $275.42 | $302.00 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $309.03 Typical High $537.03 | Professional | None (both parts) | $114.82 | $309.03 | $537.03 |
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 $50.12 Median $64.57 Typical High $117.49 | Professional | 52 · Reduced service | $50.12 | $64.57 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $25.70 Typical High $46.77 | Professional | 53 · Discontinued | $19.95 | $25.70 | $46.77 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $117.49 Typical High $117.49 | Professional | 52 · Reduced service | $50.12 | $117.49 | $117.49 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $46.77 Typical High $46.77 | Professional | 53 · Discontinued | $19.95 | $46.77 | $46.77 |
Where Alaska sits
The same service costs 3.8 times more in Alaska than in Utah. 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
$275
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.