How much rates vary
Facilitymedian $692 · 10th to 90th $646 to $1,000Professionalmedian $813 · 10th to 90th $331 to $1,514
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 $691.83 Median $691.83 Typical High $691.83 | Facility | None | $691.83 | $691.83 | $691.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $389.05 Typical High $691.83 | Professional | None (both parts) | $295.12 | $389.05 | $691.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $50.12 Typical High $100.00 | Professional | 26 · Professional part | $39.81 | $50.12 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $338.84 Typical High $602.56 | Professional | TC · Technical part | $251.19 | $338.84 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $501.19 Median $630.96 Typical High $1,071.52 | Professional | None (both parts) | $501.19 | $630.96 | $1,071.52 |
Moda Health Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $1,000.00 | Facility | None | $691.83 | $691.83 | $1,000.00 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $316.23 Median $691.83 Typical High $1,288.25 | Professional | None (both parts) | $316.23 | $691.83 | $1,288.25 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $100.00 Typical High $147.91 | Professional | 26 · Professional part | $40.74 | $100.00 | $147.91 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $602.56 Typical High $1,148.15 | Professional | TC · Technical part | $275.42 | $602.56 | $1,148.15 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | None (both parts) | $1,513.56 | $1,513.56 | $1,513.56 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | 26 · Professional part | $177.83 | $177.83 | $177.83 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | TC · Technical part | $1,348.96 | $1,348.96 | $1,348.96 |
Providence Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $933.25 | Facility | None | $645.65 | $645.65 | $933.25 |
Providence Setting Professional Modifier None (both parts) Typical Low $467.74 Median $794.33 Typical High $1,000.00 | Professional | None (both parts) | $467.74 | $794.33 | $1,000.00 |
United Setting Professional Modifier None (both parts) Typical Low $331.13 Median $812.83 Typical High $1,445.44 | Professional | None (both parts) | $331.13 | $812.83 | $1,445.44 |
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 $147.91 Median $204.17 Typical High $346.74 | Professional | 52 · Reduced service | $147.91 | $204.17 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $81.28 Typical High $141.25 | Professional | 53 · Discontinued | $58.88 | $81.28 | $141.25 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $147.91 Median $346.74 Typical High $346.74 | Professional | 52 · Reduced service | $147.91 | $346.74 | $346.74 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $141.25 Typical High $141.25 | Professional | 53 · Discontinued | $58.88 | $141.25 | $141.25 |
Where Alaska sits
The same service costs 3.0 times more in Alaska than in New Mexico. 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
$813
AK $813NM $275
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.