How much rates vary
Facilitymedian $1,349 · 10th to 90th $1,288 to $1,905Professionalmedian $1,445 · 10th to 90th $575 to $2,818
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 $1,348.96 Median $1,348.96 Typical High $1,348.96 | Facility | None | $1,348.96 | $1,348.96 | $1,348.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $776.25 Typical High $1,348.96 | Professional | None (both parts) | $478.63 | $776.25 | $1,348.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $257.04 Typical High $501.19 | Professional | 26 · Professional part | $199.53 | $257.04 | $501.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $501.19 Typical High $831.76 | Professional | TC · Technical part | $295.12 | $501.19 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,202.26 Typical High $1,905.46 | Professional | None (both parts) | $933.25 | $1,202.26 | $1,905.46 |
Moda Health Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,905.46 | Facility | None | $1,348.96 | $1,348.96 | $1,905.46 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $575.44 Median $1,348.96 Typical High $2,511.89 | Professional | None (both parts) | $575.44 | $1,348.96 | $2,511.89 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $501.19 Typical High $741.31 | Professional | 26 · Professional part | $204.17 | $501.19 | $741.31 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $831.76 Typical High $1,737.80 | Professional | TC · Technical part | $323.59 | $831.76 | $1,737.80 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Professional | None (both parts) | $2,818.38 | $2,818.38 | $2,818.38 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | 26 · Professional part | $891.25 | $891.25 | $891.25 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | TC · Technical part | $1,949.84 | $1,949.84 | $1,949.84 |
Providence Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,862.09 | Facility | None | $1,288.25 | $1,288.25 | $1,862.09 |
Providence Setting Professional Modifier None (both parts) Typical Low $776.25 Median $1,380.38 Typical High $1,778.28 | Professional | None (both parts) | $776.25 | $1,380.38 | $1,778.28 |
United Setting Professional Modifier None (both parts) Typical Low $363.08 Median $1,445.44 Typical High $2,511.89 | Professional | None (both parts) | $363.08 | $1,445.44 | $2,511.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $630.96 Typical High $1,096.48 | Professional | 26 · Professional part | $218.78 | $630.96 | $1,096.48 |
United Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $812.83 Typical High $1,412.54 | Professional | TC · Technical part | $281.84 | $812.83 | $1,412.54 |
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 $229.09 Median $389.05 Typical High $676.08 | Professional | 52 · Reduced service | $229.09 | $389.05 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $154.88 Typical High $269.15 | Professional | 53 · Discontinued | $93.33 | $154.88 | $269.15 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $229.09 Median $676.08 Typical High $676.08 | Professional | 52 · Reduced service | $229.09 | $676.08 | $676.08 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $269.15 Typical High $269.15 | Professional | 53 · Discontinued | $91.20 | $269.15 | $269.15 |
Where Alaska sits
The same service costs 3.2 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
$1,445
AK $1,445KY $447
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.