How much rates vary
Facilitymedian $132 · 10th to 90th $115 to $186Professionalmedian $162 · 10th to 90th $65 to $275
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 $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $125.89 Typical High $138.04 | Professional | None (both parts) | $60.26 | $125.89 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $20.89 Typical High $41.69 | Professional | 26 · Professional part | $16.60 | $20.89 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $89.13 Typical High $123.03 | Professional | TC · Technical part | $42.66 | $89.13 | $123.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $154.88 Typical High $309.03 | Professional | None (both parts) | $91.20 | $154.88 | $309.03 |
Moda Health Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $186.21 | Facility | None | $131.83 | $131.83 | $186.21 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $66.07 Median $131.83 Typical High $229.09 | Professional | None (both parts) | $66.07 | $131.83 | $229.09 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $41.69 Typical High $60.26 | Professional | 26 · Professional part | $16.60 | $41.69 | $60.26 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $89.13 Typical High $186.21 | Professional | TC · Technical part | $46.77 | $89.13 | $186.21 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | None (both parts) | $275.42 | $275.42 | $275.42 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 26 · Professional part | $72.44 | $72.44 | $72.44 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | TC · Technical part | $199.53 | $199.53 | $199.53 |
Providence Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $162.18 | Facility | None | $114.82 | $114.82 | $162.18 |
Providence Setting Professional Modifier None (both parts) Typical Low $91.20 Median $165.96 Typical High $199.53 | Professional | None (both parts) | $91.20 | $165.96 | $199.53 |
United Setting Professional Modifier None (both parts) Typical Low $46.77 Median $162.18 Typical High $309.03 | Professional | None (both parts) | $46.77 | $162.18 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $52.48 Typical High $104.71 | Professional | 26 · Professional part | $17.78 | $52.48 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $109.65 Typical High $190.55 | Professional | TC · Technical part | $44.67 | $109.65 | $190.55 |
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 $30.20 Median $44.67 Typical High $66.07 | Professional | 52 · Reduced service | $30.20 | $44.67 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $17.78 Typical High $26.30 | Professional | 53 · Discontinued | $12.02 | $17.78 | $26.30 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $30.20 | $66.07 | $66.07 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $26.30 Typical High $26.30 | Professional | 53 · Discontinued | $12.02 | $26.30 | $26.30 |
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
$162
AK $162TX $51.29
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.