How much rates vary
Facilitymedian $55 · 10th to 90th $34 to $155Professionalmedian $91 · 10th to 90th $51 to $145
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $53.70 Median $74.13 Typical High $112.20 | Facility | None | $53.70 | $74.13 | $112.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $52.48 Typical High $85.11 | Professional | None (both parts) | $43.65 | $52.48 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $30.90 Typical High $44.67 | Professional | 26 · Professional part | $26.92 | $30.90 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $22.39 Typical High $38.02 | Professional | TC · Technical part | $16.98 | $22.39 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $41.69 Typical High $53.70 | Facility | None | $33.88 | $41.69 | $53.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $89.13 Typical High $138.04 | Professional | None (both parts) | $64.57 | $89.13 | $138.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $51.29 Typical High $79.43 | Professional | 26 · Professional part | $40.74 | $51.29 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $38.90 Typical High $60.26 | Professional | TC · Technical part | $30.20 | $38.90 | $60.26 |
HealthNet Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None (both parts) | $125.89 | $125.89 | $125.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $95.50 Median $107.15 Typical High $134.90 | Professional | None | $95.50 | $107.15 | $134.90 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $61.66 Typical High $74.13 | Professional | 26 · Professional part | $53.70 | $61.66 | $74.13 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $45.71 Typical High $58.88 | Professional | TC · Technical part | $40.74 | $45.71 | $58.88 |
Moda Health Setting Facility Modifier None Typical Low $75.86 Median $512.86 Typical High $1,000.00 | Facility | None | $75.86 | $512.86 | $1,000.00 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $48.98 Median $83.18 Typical High $158.49 | Professional | None (both parts) | $48.98 | $83.18 | $158.49 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $54.95 Typical High $100.00 | Professional | 26 · Professional part | $30.20 | $54.95 | $100.00 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $24.55 Typical High $53.70 | Professional | TC · Technical part | $19.50 | $24.55 | $53.70 |
Pacific Source Setting Facility Modifier None Typical Low $29.51 Median $54.95 Typical High $95.50 | Facility | None | $29.51 | $54.95 | $95.50 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $54.95 | Professional | None (both parts) | $39.81 | $39.81 | $54.95 |
Providence Setting Facility Modifier None Typical Low $33.88 Median $43.65 Typical High $114.82 | Facility | None | $33.88 | $43.65 | $114.82 |
Providence Setting Professional Modifier None (both parts) Typical Low $72.44 Median $97.72 Typical High $144.54 | Professional | None (both parts) | $72.44 | $97.72 | $144.54 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $56.23 Typical High $85.11 | Professional | 26 · Professional part | $40.74 | $56.23 | $85.11 |
Providence Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $38.90 Typical High $60.26 | Professional | TC · Technical part | $23.99 | $38.90 | $60.26 |
Regence BlueShield Setting Facility Modifier None Typical Low $489.78 Median $691.83 Typical High $794.33 | Facility | None | $489.78 | $691.83 | $794.33 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $93.33 Median $100.00 Typical High $147.91 | Professional | None (both parts) | $93.33 | $100.00 | $147.91 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $58.88 Typical High $87.10 | Professional | 26 · Professional part | $54.95 | $58.88 | $87.10 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $40.74 Typical High $60.26 | Professional | TC · Technical part | $38.90 | $40.74 | $60.26 |
United Setting Facility Modifier None Typical Low $151.36 Median $295.12 Typical High $4,897.79 | Facility | None | $151.36 | $295.12 | $4,897.79 |
United Setting Professional Modifier None (both parts) Typical Low $69.18 Median $100.00 Typical High $169.82 | Professional | None (both parts) | $69.18 | $100.00 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $63.10 Typical High $100.00 | Professional | 26 · Professional part | $42.66 | $63.10 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $38.02 Typical High $70.79 | Professional | TC · Technical part | $26.92 | $38.02 | $70.79 |
5 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 $26.30 Median $26.30 Typical High $26.30 | Professional | 52 · Reduced service | $26.30 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | 53 · Discontinued | $10.72 | $10.72 | $10.72 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | 52 · Reduced service | $26.30 | $26.30 | $26.30 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | 53 · Discontinued | $10.72 | $10.72 | $10.72 |
Moda Health Setting Professional Modifier 59 · Distinct service Typical Low $52.48 Median $87.10 Typical High $151.36 | Professional | 59 · Distinct service | $52.48 | $87.10 | $151.36 |
Where Oregon sits
The same service costs 6.5 times more in Minnesota 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.
Oregon· 22nd of 51
$64.57
MN $295KY $45.71
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.