How much rates vary
Facilitymedian $166 · 10th to 90th $148 to $240Professionalmedian $204 · 10th to 90th $78 to $331
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 $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $87.10 Typical High $165.96 | Professional | None (both parts) | $70.79 | $87.10 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $35.48 Typical High $69.18 | Professional | 26 · Professional part | $28.18 | $35.48 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $53.70 Typical High $95.50 | Professional | TC · Technical part | $42.66 | $53.70 | $95.50 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $186.21 Typical High $263.03 | Professional | None (both parts) | $109.65 | $186.21 | $263.03 |
Moda Health Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $239.88 | Facility | None | $165.96 | $165.96 | $239.88 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $75.86 Median $165.96 Typical High $295.12 | Professional | None (both parts) | $75.86 | $165.96 | $295.12 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $69.18 Typical High $125.89 | Professional | 26 · Professional part | $28.84 | $69.18 | $125.89 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $95.50 Typical High $173.78 | Professional | TC · Technical part | $46.77 | $95.50 | $173.78 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None (both parts) | $331.13 | $331.13 | $331.13 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | 26 · Professional part | $123.03 | $123.03 | $123.03 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | TC · Technical part | $208.93 | $208.93 | $208.93 |
Providence Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $208.93 | Facility | None | $147.91 | $147.91 | $208.93 |
Providence Setting Professional Modifier None (both parts) Typical Low $109.65 Median $199.53 Typical High $229.09 | Professional | None (both parts) | $109.65 | $199.53 | $229.09 |
United Setting Professional Modifier None (both parts) Typical Low $74.13 Median $204.17 Typical High $354.81 | Professional | None (both parts) | $74.13 | $204.17 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $87.10 Typical High $177.83 | Professional | 26 · Professional part | $30.20 | $87.10 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $114.82 Typical High $199.53 | Professional | TC · Technical part | $46.77 | $114.82 | $199.53 |
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 $35.48 Median $43.65 Typical High $83.18 | Professional | 52 · Reduced service | $35.48 | $43.65 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $17.78 Typical High $33.11 | Professional | 53 · Discontinued | $14.13 | $17.78 | $33.11 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $83.18 Typical High $83.18 | Professional | 52 · Reduced service | $36.31 | $83.18 | $83.18 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $33.11 Typical High $33.11 | Professional | 53 · Discontinued | $14.45 | $33.11 | $33.11 |
Where Alaska sits
The same service costs 3.0 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
$204
AK $204TX $69.18
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.