How much rates vary
Facilitymedian $23 · 10th to 90th $1 to $724Professionalmedian $123 · 10th to 90th $74 to $417
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 Professional Modifier None (both parts) Typical Low $204.17 Median $323.59 Typical High $323.59 | Professional | None (both parts) | $204.17 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $19.50 Typical High $19.50 | Professional | 26 · Professional part | $12.59 | $19.50 | $19.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $323.59 Typical High $323.59 | Professional | TC · Technical part | $199.53 | $323.59 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $741.31 Typical High $891.25 | Facility | None | $524.81 | $741.31 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $91.20 Typical High $151.36 | Professional | None (both parts) | $61.66 | $91.20 | $151.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $25.12 Typical High $43.65 | Professional | 26 · Professional part | $17.38 | $25.12 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $64.57 Typical High $107.15 | Professional | TC · Technical part | $44.67 | $64.57 | $107.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $95.50 Median $109.65 Typical High $138.04 | Professional | None | $95.50 | $109.65 | $138.04 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $31.62 Typical High $38.02 | Professional | 26 · Professional part | $26.92 | $31.62 | $38.02 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $77.62 Typical High $100.00 | Professional | TC · Technical part | $67.61 | $77.62 | $100.00 |
Moda Health Setting Facility Modifier None Typical Low $32.36 Median $125.89 Typical High $467.74 | Facility | None | $32.36 | $125.89 | $467.74 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $151.36 Median $323.59 Typical High $323.59 | Professional | None (both parts) | $151.36 | $323.59 | $323.59 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $19.50 Typical High $38.02 | Professional | 26 · Professional part | $15.85 | $19.50 | $38.02 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $323.59 Typical High $323.59 | Professional | TC · Technical part | $154.88 | $323.59 | $323.59 |
Pacific Source Setting Facility Modifier None Typical Low $1.05 Median $15.49 Typical High $28.84 | Facility | None | $1.05 | $15.49 | $28.84 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $1.29 Median $1.29 Typical High $14.13 | Professional | None (both parts) | $1.29 | $1.29 | $14.13 |
Providence Setting Facility Modifier None Typical Low $32.36 Median $371.54 Typical High $741.31 | Facility | None | $32.36 | $371.54 | $741.31 |
Providence Setting Professional Modifier None (both parts) Typical Low $70.79 Median $100.00 Typical High $151.36 | Professional | None (both parts) | $70.79 | $100.00 | $151.36 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $29.51 Typical High $41.69 | Professional | 26 · Professional part | $20.42 | $29.51 | $41.69 |
Providence Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $72.44 Typical High $107.15 | Professional | TC · Technical part | $53.70 | $72.44 | $107.15 |
Regence BlueShield Setting Facility Modifier None Typical Low $691.83 Median $851.14 Typical High $1,047.13 | Facility | None | $691.83 | $851.14 | $1,047.13 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $91.20 Median $95.50 Typical High $138.04 | Professional | None (both parts) | $91.20 | $95.50 | $138.04 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $28.18 Typical High $39.81 | Professional | 26 · Professional part | $26.92 | $28.18 | $39.81 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $69.18 Typical High $97.72 | Professional | TC · Technical part | $64.57 | $69.18 | $97.72 |
United Setting Facility Modifier None Typical Low $758.58 Median $954.99 Typical High $1,174.90 | Facility | None | $758.58 | $954.99 | $1,174.90 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $389.05 Typical High $812.83 | Professional | None (both parts) | $114.82 | $389.05 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $25.70 Typical High $45.71 | Professional | 26 · Professional part | $15.14 | $25.70 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $389.05 Typical High $776.25 | Professional | TC · Technical part | $186.21 | $389.05 | $776.25 |
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 Facility Modifier 53 · Discontinued Typical Low $251.19 Median $251.19 Typical High $323.59 | Facility | 53 · Discontinued | $251.19 | $251.19 | $323.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $102.33 Median $162.18 Typical High $162.18 | Professional | 52 · Reduced service | $102.33 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $64.57 Typical High $64.57 | Professional | 53 · Discontinued | $40.74 | $64.57 | $64.57 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $95.50 Median $162.18 Typical High $162.18 | Professional | 52 · Reduced service | $95.50 | $162.18 | $162.18 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $64.57 Typical High $64.57 | Professional | 53 · Discontinued | $38.02 | $64.57 | $64.57 |
Where Oregon sits
The same service costs 6.6 times more in Colorado than in Michigan. 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· 38th of 51
$95.50
CO $316MI $47.86
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.