How much rates vary
Facilitymedian $347 · 10th to 90th $251 to $490Professionalmedian $347 · 10th to 90th $148 to $708
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 $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $181.97 Typical High $346.74 | Professional | None (both parts) | $138.04 | $181.97 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $31.62 Typical High $63.10 | Professional | 26 · Professional part | $24.55 | $31.62 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $151.36 Typical High $281.84 | Professional | TC · Technical part | $112.20 | $151.36 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $354.81 Typical High $537.03 | Professional | None (both parts) | $234.42 | $354.81 | $537.03 |
Moda Health Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $489.78 | Facility | None | $346.74 | $346.74 | $489.78 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $151.36 Median $346.74 Typical High $489.78 | Professional | None (both parts) | $151.36 | $346.74 | $489.78 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $63.10 Typical High $91.20 | Professional | 26 · Professional part | $26.30 | $63.10 | $91.20 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $281.84 Typical High $398.11 | Professional | TC · Technical part | $123.03 | $281.84 | $398.11 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | None (both parts) | $707.95 | $707.95 | $707.95 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 26 · Professional part | $109.65 | $109.65 | $109.65 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | TC · Technical part | $602.56 | $602.56 | $602.56 |
Providence Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $354.81 | Facility | None | $251.19 | $251.19 | $354.81 |
Providence Setting Professional Modifier None (both parts) Typical Low $177.83 Median $380.19 Typical High $489.78 | Professional | None (both parts) | $177.83 | $380.19 | $489.78 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $331.13 Typical High $660.69 | Professional | None (both parts) | $81.28 | $331.13 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $77.62 Typical High $158.49 | Professional | 26 · Professional part | $26.92 | $77.62 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $251.19 Typical High $446.68 | Professional | TC · Technical part | $104.71 | $251.19 | $446.68 |
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 $69.18 Median $89.13 Typical High $169.82 | Professional | 52 · Reduced service | $69.18 | $89.13 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $35.48 Typical High $69.18 | Professional | 53 · Discontinued | $27.54 | $35.48 | $69.18 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $169.82 Typical High $169.82 | Professional | 52 · Reduced service | $69.18 | $169.82 | $169.82 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $69.18 Typical High $69.18 | Professional | 53 · Discontinued | $28.18 | $69.18 | $69.18 |
Where Alaska sits
The same service costs 2.9 times more in Alaska than in New Mexico. 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
$347
AK $347NM $120
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.