How much rates vary
Facilitymedian $55 · 10th to 90th $16 to $234Professionalmedian $71 · 10th to 90th $39 to $112
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 TC · Technical part Typical Low $158.49 Median $158.49 Typical High $204.17 | Facility | TC · Technical part | $158.49 | $158.49 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $53.70 Typical High $72.44 | Professional | None (both parts) | $35.48 | $53.70 | $72.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $12.02 Typical High $13.80 | Professional | 26 · Professional part | $8.51 | $12.02 | $13.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $40.74 Typical High $58.88 | Professional | TC · Technical part | $27.54 | $40.74 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $346.74 Typical High $398.11 | Facility | None | $229.09 | $346.74 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $67.61 Typical High $117.49 | Professional | None (both parts) | $41.69 | $67.61 | $117.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $15.14 Typical High $26.30 | Professional | 26 · Professional part | $10.47 | $15.14 | $26.30 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $52.48 Typical High $91.20 | Professional | TC · Technical part | $33.11 | $52.48 | $91.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $77.62 Median $89.13 Typical High $112.20 | Professional | None | $77.62 | $89.13 | $112.20 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $19.95 Typical High $23.44 | Professional | 26 · Professional part | $16.60 | $19.95 | $23.44 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $69.18 Typical High $87.10 | Professional | TC · Technical part | $60.26 | $69.18 | $87.10 |
Moda Health Setting Facility Modifier None Typical Low $53.70 Median $75.86 Typical High $102.33 | Facility | None | $53.70 | $75.86 | $102.33 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $38.90 Median $53.70 Typical High $93.33 | Professional | None (both parts) | $38.90 | $53.70 | $93.33 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $12.02 Typical High $22.91 | Professional | 26 · Professional part | $8.91 | $12.02 | $22.91 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $40.74 Typical High $77.62 | Professional | TC · Technical part | $29.51 | $40.74 | $77.62 |
Pacific Source Setting Facility Modifier None Typical Low $14.45 Median $48.98 Typical High $75.86 | Facility | None | $14.45 | $48.98 | $75.86 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $16.98 Median $16.98 Typical High $58.88 | Professional | None (both parts) | $16.98 | $16.98 | $58.88 |
Providence Setting Facility Modifier None Typical Low $75.86 Median $102.33 Typical High $346.74 | Facility | None | $75.86 | $102.33 | $346.74 |
Providence Setting Professional Modifier None (both parts) Typical Low $57.54 Median $74.13 Typical High $112.20 | Professional | None (both parts) | $57.54 | $74.13 | $112.20 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $17.78 Typical High $25.70 | Professional | 26 · Professional part | $12.30 | $17.78 | $25.70 |
Providence Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $56.23 Typical High $87.10 | Professional | TC · Technical part | $36.31 | $56.23 | $87.10 |
Regence BlueShield Setting Facility Modifier None Typical Low $309.03 Median $389.05 Typical High $501.19 | Facility | None | $309.03 | $389.05 | $501.19 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $67.61 Median $75.86 Typical High $107.15 | Professional | None (both parts) | $67.61 | $75.86 | $107.15 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $16.98 Typical High $23.99 | Professional | 26 · Professional part | $15.85 | $16.98 | $23.99 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $57.54 Typical High $83.18 | Professional | TC · Technical part | $50.12 | $57.54 | $83.18 |
United Setting Facility Modifier None Typical Low $331.13 Median $416.87 Typical High $512.86 | Facility | None | $331.13 | $416.87 | $512.86 |
United Setting Professional Modifier None (both parts) Typical Low $33.88 Median $63.10 Typical High $112.20 | Professional | None (both parts) | $33.88 | $63.10 | $112.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $15.85 Typical High $28.18 | Professional | 26 · Professional part | $9.33 | $15.85 | $28.18 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $46.77 Typical High $87.10 | Professional | TC · Technical part | $24.55 | $46.77 | $87.10 |
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 $16.98 Median $26.30 Typical High $26.30 | Professional | 52 · Reduced service | $16.98 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $10.72 Typical High $10.72 | Professional | 53 · Discontinued | $6.76 | $10.72 | $10.72 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $15.85 Median $26.30 Typical High $26.30 | Professional | 52 · Reduced service | $15.85 | $26.30 | $26.30 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $10.72 Typical High $10.72 | Professional | 53 · Discontinued | $6.31 | $10.72 | $10.72 |
Where Oregon sits
The same service costs 3.9 times more in Alaska than in Florida. 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· 10th of 51
$66.07
AK $112FL $28.84
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.