How much rates vary
Facilitymedian $302 · 10th to 90th $224 to $427Professionalmedian $324 · 10th to 90th $135 to $646
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 $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $158.49 Typical High $302.00 | Professional | None (both parts) | $123.03 | $158.49 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.20 Typical High $61.66 | Professional | 26 · Professional part | $23.99 | $30.20 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $131.83 Typical High $239.88 | Professional | TC · Technical part | $102.33 | $131.83 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $331.13 Typical High $467.74 | Professional | None (both parts) | $213.80 | $331.13 | $467.74 |
Moda Health Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $426.58 | Facility | None | $302.00 | $302.00 | $426.58 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $138.04 Median $302.00 Typical High $446.68 | Professional | None (both parts) | $138.04 | $302.00 | $446.68 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $61.66 Typical High $104.71 | Professional | 26 · Professional part | $25.70 | $61.66 | $104.71 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $239.88 Typical High $407.38 | Professional | TC · Technical part | $109.65 | $239.88 | $407.38 |
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 $107.15 Median $107.15 Typical High $107.15 | Professional | 26 · Professional part | $107.15 | $107.15 | $107.15 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | TC · Technical part | $524.81 | $524.81 | $524.81 |
Providence Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $323.59 | Facility | None | $223.87 | $223.87 | $323.59 |
Providence Setting Professional Modifier None (both parts) Typical Low $169.82 Median $363.08 Typical High $426.58 | Professional | None (both parts) | $169.82 | $363.08 | $426.58 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $316.23 Typical High $630.96 | Professional | None (both parts) | $81.28 | $316.23 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $77.62 Typical High $154.88 | Professional | 26 · Professional part | $26.30 | $77.62 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $239.88 Typical High $416.87 | Professional | TC · Technical part | $100.00 | $239.88 | $416.87 |
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 $61.66 Median $79.43 Typical High $151.36 | Professional | 52 · Reduced service | $61.66 | $79.43 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $31.62 Typical High $60.26 | Professional | 53 · Discontinued | $24.55 | $31.62 | $60.26 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $151.36 Typical High $151.36 | Professional | 52 · Reduced service | $64.57 | $151.36 | $151.36 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $60.26 Typical High $60.26 | Professional | 53 · Discontinued | $25.70 | $60.26 | $60.26 |
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
$324
AK $324TX $102
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.