How much rates vary
Facilitymedian $324 · 10th to 90th $282 to $457Professionalmedian $324 · 10th to 90th $148 to $741
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 $323.59 Median $323.59 Typical High $323.59 | Facility | None | $323.59 | $323.59 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $190.55 Typical High $323.59 | Professional | None (both parts) | $125.89 | $190.55 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $32.36 Typical High $61.66 | Professional | 26 · Professional part | $24.55 | $32.36 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $154.88 Typical High $257.04 | Professional | TC · Technical part | $102.33 | $154.88 | $257.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $323.59 Typical High $446.68 | Professional | None (both parts) | $245.47 | $323.59 | $446.68 |
Moda Health Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $457.09 | Facility | None | $323.59 | $323.59 | $457.09 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $147.91 Median $323.59 Typical High $549.54 | Professional | None (both parts) | $147.91 | $323.59 | $549.54 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $61.66 Typical High $91.20 | Professional | 26 · Professional part | $25.70 | $61.66 | $91.20 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $257.04 Typical High $457.09 | Professional | TC · Technical part | $123.03 | $257.04 | $457.09 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | None (both parts) | $741.31 | $741.31 | $741.31 |
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 $630.96 Median $630.96 Typical High $630.96 | Professional | TC · Technical part | $630.96 | $630.96 | $630.96 |
Providence Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $398.11 | Facility | None | $281.84 | $281.84 | $398.11 |
Providence Setting Professional Modifier None (both parts) Typical Low $177.83 Median $331.13 Typical High $457.09 | Professional | None (both parts) | $177.83 | $331.13 | $457.09 |
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 $25.70 Median $75.86 Typical High $151.36 | Professional | 26 · Professional part | $25.70 | $75.86 | $151.36 |
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 $58.88 Median $93.33 Typical High $162.18 | Professional | 52 · Reduced service | $58.88 | $93.33 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $38.02 Typical High $64.57 | Professional | 53 · Discontinued | $23.44 | $38.02 | $64.57 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $162.18 Typical High $162.18 | Professional | 52 · Reduced service | $63.10 | $162.18 | $162.18 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $64.57 Typical High $64.57 | Professional | 53 · Discontinued | $25.12 | $64.57 | $64.57 |
Where Alaska sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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 $324KY $115
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.