How much rates vary
Facilitymedian $45 · 10th to 90th $16 to $219Professionalmedian $56 · 10th to 90th $30 to $91
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 $43.65 Median $53.70 Typical High $75.86 | Facility | None | $43.65 | $53.70 | $75.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $43.65 Typical High $57.54 | Professional | None (both parts) | $25.12 | $43.65 | $57.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $12.02 Typical High $16.22 | Professional | 26 · Professional part | $7.41 | $12.02 | $16.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $31.62 Typical High $43.65 | Professional | TC · Technical part | $17.38 | $31.62 | $43.65 |
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 $33.11 Median $54.95 Typical High $95.50 | Professional | None (both parts) | $33.11 | $54.95 | $95.50 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $14.79 Typical High $26.30 | Professional | 26 · Professional part | $10.00 | $14.79 | $26.30 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $40.74 Typical High $69.18 | Professional | TC · Technical part | $23.99 | $40.74 | $69.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $61.66 Median $70.79 Typical High $89.13 | Professional | None | $61.66 | $70.79 | $89.13 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $19.95 Typical High $23.44 | Professional | 26 · Professional part | $16.60 | $19.95 | $23.44 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $51.29 Typical High $64.57 | Professional | TC · Technical part | $44.67 | $51.29 | $64.57 |
Moda Health Setting Facility Modifier None Typical Low $51.29 Median $123.03 Typical High $295.12 | Facility | None | $51.29 | $123.03 | $295.12 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $32.36 Median $239.88 Typical High $316.23 | Facility | TC · Technical part | $32.36 | $239.88 | $316.23 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $27.54 Median $43.65 Typical High $93.33 | Professional | None (both parts) | $27.54 | $43.65 | $93.33 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $13.80 Typical High $28.84 | Professional | 26 · Professional part | $7.94 | $13.80 | $28.84 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $31.62 Typical High $58.88 | Professional | TC · Technical part | $19.95 | $31.62 | $58.88 |
Pacific Source Setting Facility Modifier None Typical Low $14.45 Median $37.15 Typical High $61.66 | Facility | None | $14.45 | $37.15 | $61.66 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $12.02 Median $12.02 Typical High $25.12 | Professional | None (both parts) | $12.02 | $12.02 | $25.12 |
Providence Setting Facility Modifier None Typical Low $58.88 Median $83.18 Typical High $269.15 | Facility | None | $58.88 | $83.18 | $269.15 |
Providence Setting Professional Modifier None (both parts) Typical Low $46.77 Median $60.26 Typical High $91.20 | Professional | None (both parts) | $46.77 | $60.26 | $91.20 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $16.60 Typical High $25.70 | Professional | 26 · Professional part | $12.30 | $16.60 | $25.70 |
Providence Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $40.74 Typical High $66.07 | Professional | TC · Technical part | $28.84 | $40.74 | $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 $52.48 Median $61.66 Typical High $87.10 | Professional | None (both parts) | $52.48 | $61.66 | $87.10 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $16.98 Typical High $23.99 | Professional | 26 · Professional part | $14.79 | $16.98 | $23.99 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $44.67 Typical High $63.10 | Professional | TC · Technical part | $38.02 | $44.67 | $63.10 |
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 $28.18 Median $52.48 Typical High $93.33 | Professional | None (both parts) | $28.18 | $52.48 | $93.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $15.85 Typical High $28.18 | Professional | 26 · Professional part | $8.71 | $15.85 | $28.18 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $37.15 Typical High $66.07 | Professional | TC · Technical part | $19.50 | $37.15 | $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 $13.80 Median $21.88 Typical High $21.88 | Professional | 52 · Reduced service | $13.80 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $8.71 Typical High $8.71 | Professional | 53 · Discontinued | $5.50 | $8.71 | $8.71 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $12.88 Median $21.88 Typical High $21.88 | Professional | 52 · Reduced service | $12.88 | $21.88 | $21.88 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $8.71 Typical High $8.71 | Professional | 53 · Discontinued | $5.13 | $8.71 | $8.71 |
Where Oregon sits
The same service costs 4.3 times more in Alaska than in New York. 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
$53.70
AK $93.33NY $21.88
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.