How much rates vary
Facilitymedian $209 · 10th to 90th $182 to $302Professionalmedian $229 · 10th to 90th $83 to $417
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 $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $112.20 Typical High $208.93 | Professional | None (both parts) | $69.18 | $112.20 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $38.90 Typical High $77.62 | Professional | 26 · Professional part | $30.90 | $38.90 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $74.13 Typical High $134.90 | Professional | TC · Technical part | $36.31 | $74.13 | $134.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $177.83 Typical High $323.59 | Professional | None (both parts) | $138.04 | $177.83 | $323.59 |
Moda Health Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $302.00 | Facility | None | $208.93 | $208.93 | $302.00 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $81.28 Median $208.93 Typical High $316.23 | Professional | None (both parts) | $81.28 | $208.93 | $316.23 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $77.62 Typical High $112.20 | Professional | 26 · Professional part | $32.36 | $77.62 | $112.20 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $134.90 Typical High $234.42 | Professional | TC · Technical part | $36.31 | $134.90 | $234.42 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None (both parts) | $416.87 | $416.87 | $416.87 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 26 · Professional part | $134.90 | $134.90 | $134.90 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | TC · Technical part | $281.84 | $281.84 | $281.84 |
Providence Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $257.04 | Facility | None | $181.97 | $181.97 | $257.04 |
Providence Setting Professional Modifier None (both parts) Typical Low $117.49 Median $239.88 Typical High $288.40 | Professional | None (both parts) | $117.49 | $239.88 | $288.40 |
United Setting Professional Modifier None (both parts) Typical Low $56.23 Median $229.09 Typical High $407.38 | Professional | None (both parts) | $56.23 | $229.09 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $97.72 Typical High $194.98 | Professional | 26 · Professional part | $33.11 | $97.72 | $194.98 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $134.90 Typical High $234.42 | Professional | TC · Technical part | $48.98 | $134.90 | $234.42 |
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 $32.36 Median $54.95 Typical High $104.71 | Professional | 52 · Reduced service | $32.36 | $54.95 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $22.39 Typical High $41.69 | Professional | 53 · Discontinued | $12.88 | $22.39 | $41.69 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $32.36 Median $104.71 Typical High $104.71 | Professional | 52 · Reduced service | $32.36 | $104.71 | $104.71 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $41.69 Typical High $41.69 | Professional | 53 · Discontinued | $12.88 | $41.69 | $41.69 |
Where Alaska sits
The same service costs 3.5 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
$229
AK $229KY $64.57
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.