How much rates vary
Facilitymedian $55 · 10th to 90th $15 to $162Professionalmedian $71 · 10th to 90th $40 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 TC · Technical part Typical Low $162.18 Median $162.18 Typical High $208.93 | Facility | TC · Technical part | $162.18 | $162.18 | $208.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $52.48 Typical High $52.48 | Professional | None (both parts) | $33.11 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $11.22 Typical High $11.22 | Professional | 26 · Professional part | $7.24 | $11.22 | $11.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $41.69 Typical High $41.69 | Professional | TC · Technical part | $26.30 | $41.69 | $41.69 |
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 $45.71 Median $69.18 Typical High $114.82 | Professional | None (both parts) | $45.71 | $69.18 | $114.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $14.13 Typical High $24.55 | Professional | 26 · Professional part | $10.00 | $14.13 | $24.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $53.70 Typical High $91.20 | Professional | TC · Technical part | $36.31 | $53.70 | $91.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $72.44 Median $85.11 Typical High $104.71 | Professional | None | $72.44 | $85.11 | $104.71 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $18.20 Typical High $21.88 | Professional | 26 · Professional part | $15.14 | $18.20 | $21.88 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $66.07 Typical High $83.18 | Professional | TC · Technical part | $57.54 | $66.07 | $83.18 |
Moda Health Setting Facility Modifier None Typical Low $52.48 Median $85.11 Typical High $114.82 | Facility | None | $52.48 | $85.11 | $114.82 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $45.71 Median $54.95 Typical High $97.72 | Professional | None (both parts) | $45.71 | $54.95 | $97.72 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $11.22 Typical High $21.38 | Professional | 26 · Professional part | $9.12 | $11.22 | $21.38 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $41.69 Typical High $77.62 | Professional | TC · Technical part | $31.62 | $41.69 | $77.62 |
Pacific Source Setting Facility Modifier None Typical Low $14.45 Median $50.12 Typical High $74.13 | Facility | None | $14.45 | $50.12 | $74.13 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $12.59 Median $12.59 Typical High $39.81 | Professional | None (both parts) | $12.59 | $12.59 | $39.81 |
Providence Setting Facility Modifier None Typical Low $75.86 Median $109.65 Typical High $269.15 | Facility | None | $75.86 | $109.65 | $269.15 |
Providence Setting Professional Modifier None (both parts) Typical Low $56.23 Median $75.86 Typical High $109.65 | Professional | None (both parts) | $56.23 | $75.86 | $109.65 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $16.98 Typical High $23.44 | Professional | 26 · Professional part | $11.48 | $16.98 | $23.44 |
Providence Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $57.54 Typical High $87.10 | Professional | TC · Technical part | $39.81 | $57.54 | $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 $67.61 Median $74.13 Typical High $104.71 | Professional | None (both parts) | $67.61 | $74.13 | $104.71 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $15.49 Typical High $22.39 | Professional | 26 · Professional part | $14.79 | $15.49 | $22.39 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $57.54 Typical High $81.28 | Professional | TC · Technical part | $51.29 | $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 $36.31 Median $61.66 Typical High $109.65 | Professional | None (both parts) | $36.31 | $61.66 | $109.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $14.79 Typical High $25.70 | Professional | 26 · Professional part | $8.71 | $14.79 | $25.70 |
United Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $48.98 Typical High $85.11 | Professional | TC · Technical part | $26.92 | $48.98 | $85.11 |
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 $10.47 Typical High $10.47 | Professional | 53 · Discontinued | $6.61 | $10.47 | $10.47 |
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 $6.17 Median $10.47 Typical High $10.47 | Professional | 53 · Discontinued | $6.17 | $10.47 | $10.47 |
Where Oregon sits
The same service costs 3.7 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· 9th of 51
$66.07
AK $110FL $29.51
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.