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 $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $162.18 Typical High $251.19 | Professional | None (both parts) | $107.15 | $162.18 | $251.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $53.70 Typical High $102.33 | Professional | 26 · Professional part | $39.81 | $53.70 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $114.82 Typical High $154.88 | Professional | TC · Technical part | $67.61 | $114.82 | $154.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $302.00 Typical High $512.86 | Professional | None (both parts) | $162.18 | $302.00 | $512.86 |
Moda Health Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $354.81 | Facility | None | $251.19 | $251.19 | $354.81 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $125.89 Median $251.19 Typical High $398.11 | Professional | None (both parts) | $125.89 | $251.19 | $398.11 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $102.33 Typical High $147.91 | Professional | 26 · Professional part | $42.66 | $102.33 | $147.91 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $147.91 Typical High $251.19 | Professional | TC · Technical part | $77.62 | $147.91 | $251.19 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | None (both parts) | $489.78 | $489.78 | $489.78 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | 26 · Professional part | $177.83 | $177.83 | $177.83 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | TC · Technical part | $316.23 | $316.23 | $316.23 |
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 $162.18 Median $302.00 Typical High $380.19 | Professional | None (both parts) | $162.18 | $302.00 | $380.19 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $316.23 Typical High $549.54 | Professional | None (both parts) | $109.65 | $316.23 | $549.54 |
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 $53.70 Median $74.13 Typical High $125.89 | Professional | 52 · Reduced service | $53.70 | $74.13 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $29.51 Typical High $50.12 | Professional | 53 · Discontinued | $21.38 | $29.51 | $50.12 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $125.89 Typical High $125.89 | Professional | 52 · Reduced service | $53.70 | $125.89 | $125.89 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $50.12 Typical High $50.12 | Professional | 53 · Discontinued | $21.38 | $50.12 | $50.12 |
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
$302
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.