How much rates vary
Facilitymedian $42 · 10th to 90th $17 to $191Professionalmedian $59 · 10th to 90th $32 to $93
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 $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $44.67 Typical High $58.88 | Professional | None (both parts) | $27.54 | $44.67 | $58.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $13.49 Typical High $15.85 | Professional | 26 · Professional part | $8.51 | $13.49 | $15.85 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $31.62 Typical High $42.66 | Professional | TC · Technical part | $18.62 | $31.62 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $269.15 Typical High $331.13 | Facility | None | $190.55 | $269.15 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $56.23 Typical High $93.33 | Professional | None (both parts) | $39.81 | $56.23 | $93.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $16.98 Typical High $28.84 | Professional | 26 · Professional part | $11.75 | $16.98 | $28.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $39.81 Typical High $69.18 | Professional | TC · Technical part | $25.12 | $39.81 | $69.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $63.10 Median $72.44 Typical High $91.20 | Professional | None | $63.10 | $72.44 | $91.20 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $22.39 Typical High $26.30 | Professional | 26 · Professional part | $18.62 | $22.39 | $26.30 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $50.12 Typical High $64.57 | Professional | TC · Technical part | $43.65 | $50.12 | $64.57 |
Moda Health Setting Facility Modifier None Typical Low $54.95 Median $66.07 Typical High $123.03 | Facility | None | $54.95 | $66.07 | $123.03 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $30.20 Median $44.67 Typical High $79.43 | Professional | None (both parts) | $30.20 | $44.67 | $79.43 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $13.49 Typical High $25.12 | Professional | 26 · Professional part | $8.71 | $13.49 | $25.12 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $31.62 Typical High $60.26 | Professional | TC · Technical part | $20.42 | $31.62 | $60.26 |
Pacific Source Setting Facility Modifier None Typical Low $15.49 Median $37.15 Typical High $63.10 | Facility | None | $15.49 | $37.15 | $63.10 |
Providence Setting Facility Modifier None Typical Low $64.57 Median $85.11 Typical High $269.15 | Facility | None | $64.57 | $85.11 | $269.15 |
Providence Setting Professional Modifier None (both parts) Typical Low $47.86 Median $63.10 Typical High $93.33 | Professional | None (both parts) | $47.86 | $63.10 | $93.33 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $19.50 Typical High $28.18 | Professional | 26 · Professional part | $13.80 | $19.50 | $28.18 |
Providence Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $41.69 Typical High $66.07 | Professional | TC · Technical part | $28.84 | $41.69 | $66.07 |
Regence BlueShield Setting Facility Modifier None Typical Low $208.93 Median $302.00 Typical High $371.54 | Facility | None | $208.93 | $302.00 | $371.54 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $56.23 Median $63.10 Typical High $89.13 | Professional | None (both parts) | $56.23 | $63.10 | $89.13 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $18.20 Typical High $26.92 | Professional | 26 · Professional part | $17.38 | $18.20 | $26.92 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $44.67 Typical High $61.66 | Professional | TC · Technical part | $38.02 | $44.67 | $61.66 |
United Setting Facility Modifier None Typical Low $275.42 Median $346.74 Typical High $426.58 | Facility | None | $275.42 | $346.74 | $426.58 |
United Setting Professional Modifier None (both parts) Typical Low $30.20 Median $53.70 Typical High $95.50 | Professional | None (both parts) | $30.20 | $53.70 | $95.50 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $17.78 Typical High $30.20 | Professional | 26 · Professional part | $10.47 | $17.78 | $30.20 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $36.31 Typical High $66.07 | Professional | TC · Technical part | $20.42 | $36.31 | $66.07 |
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 $14.13 Median $22.39 Typical High $22.39 | Professional | 52 · Reduced service | $14.13 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $8.91 Typical High $8.91 | Professional | 53 · Discontinued | $5.62 | $8.91 | $8.91 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $13.18 Median $22.39 Typical High $22.39 | Professional | 52 · Reduced service | $13.18 | $22.39 | $22.39 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $8.91 Typical High $8.91 | Professional | 53 · Discontinued | $5.25 | $8.91 | $8.91 |
Where Oregon sits
The same service costs 3.8 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
$54.95
AK $95.50FL $25.12
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.