How much rates vary
Facilitymedian $44 · 10th to 90th $15 to $141Professionalmedian $60 · 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 $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $44.67 Typical High $60.26 | Professional | None (both parts) | $28.18 | $44.67 | $60.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $11.48 Typical High $13.49 | Professional | 26 · Professional part | $7.59 | $11.48 | $13.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $33.11 Typical High $46.77 | Professional | TC · Technical part | $20.42 | $33.11 | $46.77 |
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 $35.48 Median $57.54 Typical High $100.00 | Professional | None (both parts) | $35.48 | $57.54 | $100.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $14.79 Typical High $25.70 | Professional | 26 · Professional part | $10.23 | $14.79 | $25.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $42.66 Typical High $74.13 | Professional | TC · Technical part | $27.54 | $42.66 | $74.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $64.57 Median $74.13 Typical High $93.33 | Professional | None | $64.57 | $74.13 | $93.33 |
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 $47.86 Median $54.95 Typical High $69.18 | Professional | TC · Technical part | $47.86 | $54.95 | $69.18 |
Moda Health Setting Facility Modifier None Typical Low $57.54 Median $75.86 Typical High $128.82 | Facility | None | $57.54 | $75.86 | $128.82 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $30.90 Median $44.67 Typical High $91.20 | Professional | None (both parts) | $30.90 | $44.67 | $91.20 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $11.48 Typical High $20.89 | Professional | 26 · Professional part | $7.94 | $11.48 | $20.89 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $33.11 Typical High $58.88 | Professional | TC · Technical part | $23.44 | $33.11 | $58.88 |
Pacific Source Setting Facility Modifier None Typical Low $13.80 Median $39.81 Typical High $63.10 | Facility | None | $13.80 | $39.81 | $63.10 |
Providence Setting Facility Modifier None Typical Low $66.07 Median $87.10 Typical High $269.15 | Facility | None | $66.07 | $87.10 | $269.15 |
Providence Setting Professional Modifier None (both parts) Typical Low $47.86 Median $64.57 Typical High $95.50 | Professional | None (both parts) | $47.86 | $64.57 | $95.50 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $16.98 Typical High $24.55 | Professional | 26 · Professional part | $11.75 | $16.98 | $24.55 |
Providence Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $45.71 Typical High $70.79 | Professional | TC · Technical part | $31.62 | $45.71 | $70.79 |
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 $57.54 Median $63.10 Typical High $89.13 | Professional | None (both parts) | $57.54 | $63.10 | $89.13 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $16.22 Typical High $23.44 | Professional | 26 · Professional part | $15.14 | $16.22 | $23.44 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $46.77 Typical High $66.07 | Professional | TC · Technical part | $42.66 | $46.77 | $66.07 |
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 $93.33 | Professional | None (both parts) | $30.20 | $53.70 | $93.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $15.49 Typical High $26.92 | Professional | 26 · Professional part | $8.91 | $15.49 | $26.92 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $38.02 Typical High $69.18 | Professional | TC · Technical part | $21.88 | $38.02 | $69.18 |
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 $5.75 Median $8.91 Typical High $8.91 | Professional | 53 · Discontinued | $5.75 | $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 $5.37 Median $8.91 Typical High $8.91 | Professional | 53 · Discontinued | $5.37 | $8.91 | $8.91 |
Where Oregon sits
The same service costs 3.5 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
$56.23
AK $87.10FL $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.