How much rates vary
Facilitymedian $21 · 10th to 90th $13 to $191Professionalmedian $35 · 10th to 90th $20 to $54
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 $30.90 Median $30.90 Typical High $30.90 | Facility | None | $30.90 | $30.90 | $30.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $19.05 Median $25.12 Typical High $32.36 | Professional | None (both parts) | $19.05 | $25.12 | $32.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $12.88 Typical High $16.22 | Professional | 26 · Professional part | $9.12 | $12.88 | $16.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $10.00 Median $11.48 Typical High $16.22 | Professional | TC · Technical part | $10.00 | $11.48 | $16.22 |
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 $26.92 Median $34.67 Typical High $56.23 | Professional | None (both parts) | $26.92 | $34.67 | $56.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $17.78 Typical High $30.20 | Professional | 26 · Professional part | $12.30 | $17.78 | $30.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $13.18 Median $16.98 Typical High $28.84 | Professional | TC · Technical part | $13.18 | $16.98 | $28.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $38.02 Median $44.67 Typical High $54.95 | Professional | None | $38.02 | $44.67 | $54.95 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $22.91 Typical High $27.54 | Professional | 26 · Professional part | $19.05 | $22.91 | $27.54 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $21.38 Typical High $28.18 | Professional | TC · Technical part | $18.62 | $21.38 | $28.18 |
Moda Health Setting Facility Modifier None Typical Low $28.84 Median $44.67 Typical High $56.23 | Facility | None | $28.84 | $44.67 | $56.23 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $19.05 Median $25.12 Typical High $46.77 | Professional | None (both parts) | $19.05 | $25.12 | $46.77 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $13.80 Typical High $28.84 | Professional | 26 · Professional part | $9.55 | $13.80 | $28.84 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $10.00 Median $12.59 Typical High $28.84 | Professional | TC · Technical part | $10.00 | $12.59 | $28.84 |
Pacific Source Setting Facility Modifier None Typical Low $12.02 Median $19.50 Typical High $37.15 | Facility | None | $12.02 | $19.50 | $37.15 |
Providence Setting Facility Modifier None Typical Low $38.90 Median $53.70 Typical High $269.15 | Facility | None | $38.90 | $53.70 | $269.15 |
Providence Setting Professional Modifier None (both parts) Typical Low $28.18 Median $39.81 Typical High $54.95 | Professional | None (both parts) | $28.18 | $39.81 | $54.95 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $20.42 Typical High $29.51 | Professional | 26 · Professional part | $14.45 | $20.42 | $29.51 |
Providence Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $19.05 Typical High $26.92 | Professional | TC · Technical part | $13.49 | $19.05 | $26.92 |
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 $33.88 Median $36.31 Typical High $52.48 | Professional | None (both parts) | $33.88 | $36.31 | $52.48 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $19.05 Typical High $27.54 | Professional | 26 · Professional part | $17.78 | $19.05 | $27.54 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $16.98 Typical High $25.12 | Professional | TC · Technical part | $16.22 | $16.98 | $25.12 |
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 $19.50 Median $34.67 Typical High $58.88 | Professional | None (both parts) | $19.50 | $34.67 | $58.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $18.62 Typical High $31.62 | Professional | 26 · Professional part | $10.72 | $18.62 | $31.62 |
United Setting Professional Modifier TC · Technical part Typical Low $8.71 Median $16.60 Typical High $28.18 | Professional | TC · Technical part | $8.71 | $16.60 | $28.18 |
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 $7.76 Median $12.59 Typical High $12.59 | Professional | 52 · Reduced service | $7.76 | $12.59 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $5.13 Typical High $5.13 | Professional | 53 · Discontinued | $3.16 | $5.13 | $5.13 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $7.24 Median $12.59 Typical High $12.59 | Professional | 52 · Reduced service | $7.24 | $12.59 | $12.59 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $5.13 Typical High $5.13 | Professional | 53 · Discontinued | $2.95 | $5.13 | $5.13 |
Where Oregon sits
The same service costs 3.6 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· 12th of 51
$33.88
AK $56.23FL $15.49
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.