How much rates vary
Facilitymedian $58 · 10th to 90th $16 to $204Professionalmedian $66 · 10th to 90th $36 to $110
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 $66.07 Typical High $87.10 | Facility | None | $53.70 | $66.07 | $87.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $53.70 Typical High $69.18 | Professional | None (both parts) | $30.20 | $53.70 | $69.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $11.48 Typical High $16.60 | Professional | 26 · Professional part | $7.41 | $11.48 | $16.60 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $41.69 Typical High $56.23 | Professional | TC · Technical part | $22.39 | $41.69 | $56.23 |
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 $38.90 Median $66.07 Typical High $114.82 | Professional | None (both parts) | $38.90 | $66.07 | $114.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $14.79 Typical High $24.55 | Professional | 26 · Professional part | $10.23 | $14.79 | $24.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $52.48 Typical High $91.20 | Professional | TC · Technical part | $29.51 | $52.48 | $91.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $74.13 Median $85.11 Typical High $107.15 | Professional | None | $74.13 | $85.11 | $107.15 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $19.05 Typical High $22.91 | Professional | 26 · Professional part | $15.85 | $19.05 | $22.91 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $66.07 Typical High $85.11 | Professional | TC · Technical part | $57.54 | $66.07 | $85.11 |
Moda Health Setting Facility Modifier None Typical Low $57.54 Median $79.43 Typical High $309.03 | Facility | None | $57.54 | $79.43 | $309.03 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $33.11 Median $53.70 Typical High $100.00 | Professional | None (both parts) | $33.11 | $53.70 | $100.00 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $11.48 Typical High $25.70 | Professional | 26 · Professional part | $7.76 | $11.48 | $25.70 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $41.69 Typical High $70.79 | Professional | TC · Technical part | $25.70 | $41.69 | $70.79 |
Pacific Source Setting Facility Modifier None Typical Low $14.13 Median $47.86 Typical High $74.13 | Facility | None | $14.13 | $47.86 | $74.13 |
Providence Setting Facility Modifier None Typical Low $70.79 Median $100.00 Typical High $269.15 | Facility | None | $70.79 | $100.00 | $269.15 |
Providence Setting Professional Modifier None (both parts) Typical Low $56.23 Median $72.44 Typical High $109.65 | Professional | None (both parts) | $56.23 | $72.44 | $109.65 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $16.98 Typical High $23.99 | Professional | 26 · Professional part | $11.75 | $16.98 | $23.99 |
Providence Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $52.48 Typical High $87.10 | Professional | TC · Technical part | $35.48 | $52.48 | $87.10 |
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 $63.10 Median $74.13 Typical High $104.71 | Professional | None (both parts) | $63.10 | $74.13 | $104.71 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $15.49 Typical High $23.44 | Professional | 26 · Professional part | $14.79 | $15.49 | $23.44 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $57.54 Typical High $81.28 | Professional | TC · Technical part | $48.98 | $57.54 | $81.28 |
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 $33.11 Median $61.66 Typical High $112.20 | Professional | None (both parts) | $33.11 | $61.66 | $112.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $15.49 Typical High $26.30 | Professional | 26 · Professional part | $8.91 | $15.49 | $26.30 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $46.77 Typical High $87.10 | Professional | TC · Technical part | $23.99 | $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 $16.60 Median $26.30 Typical High $26.30 | Professional | 52 · Reduced service | $16.60 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $10.72 Typical High $10.72 | Professional | 53 · Discontinued | $6.61 | $10.72 | $10.72 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $15.49 Median $26.30 Typical High $26.30 | Professional | 52 · Reduced service | $15.49 | $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
$64.57
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.