How much rates vary
Facilitymedian $47 · 10th to 90th $18 to $195Professionalmedian $62 · 10th to 90th $33 to $98
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 $57.54 Median $77.62 Typical High $77.62 | Facility | None | $57.54 | $77.62 | $77.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $46.77 Typical High $66.07 | Professional | None (both parts) | $28.84 | $46.77 | $66.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $12.88 Typical High $19.05 | Professional | 26 · Professional part | $8.51 | $12.88 | $19.05 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $33.88 Typical High $47.86 | Professional | TC · Technical part | $20.42 | $33.88 | $47.86 |
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 $37.15 Median $60.26 Typical High $102.33 | Professional | None (both parts) | $37.15 | $60.26 | $102.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $16.60 Typical High $28.84 | Professional | 26 · Professional part | $11.22 | $16.60 | $28.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $42.66 Typical High $74.13 | Professional | TC · Technical part | $26.30 | $42.66 | $74.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $66.07 Median $75.86 Typical High $93.33 | Professional | None | $66.07 | $75.86 | $93.33 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $21.38 Typical High $25.12 | Professional | 26 · Professional part | $17.78 | $21.38 | $25.12 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $54.95 Typical High $69.18 | Professional | TC · Technical part | $46.77 | $54.95 | $69.18 |
Moda Health Setting Facility Modifier None Typical Low $57.54 Median $109.65 Typical High $275.42 | Facility | None | $57.54 | $109.65 | $275.42 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $32.36 Median $46.77 Typical High $87.10 | Professional | None (both parts) | $32.36 | $46.77 | $87.10 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $13.18 Typical High $24.55 | Professional | 26 · Professional part | $9.12 | $13.18 | $24.55 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $33.88 Typical High $58.88 | Professional | TC · Technical part | $23.44 | $33.88 | $58.88 |
Pacific Source Setting Facility Modifier None Typical Low $15.49 Median $39.81 Typical High $64.57 | Facility | None | $15.49 | $39.81 | $64.57 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $19.50 Median $25.12 Typical High $50.12 | Professional | None (both parts) | $19.50 | $25.12 | $50.12 |
Providence Setting Facility Modifier None Typical Low $69.18 Median $91.20 Typical High $269.15 | Facility | None | $69.18 | $91.20 | $269.15 |
Providence Setting Professional Modifier None (both parts) Typical Low $50.12 Median $64.57 Typical High $97.72 | Professional | None (both parts) | $50.12 | $64.57 | $97.72 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $19.05 Typical High $27.54 | Professional | 26 · Professional part | $13.49 | $19.05 | $27.54 |
Providence Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $45.71 Typical High $70.79 | Professional | TC · Technical part | $30.90 | $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 $58.88 Median $66.07 Typical High $93.33 | Professional | None (both parts) | $58.88 | $66.07 | $93.33 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $18.20 Typical High $25.70 | Professional | 26 · Professional part | $17.38 | $18.20 | $25.70 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $47.86 Typical High $66.07 | Professional | TC · Technical part | $40.74 | $47.86 | $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 $32.36 Median $56.23 Typical High $100.00 | Professional | None (both parts) | $32.36 | $56.23 | $100.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $17.78 Typical High $30.20 | Professional | 26 · Professional part | $10.47 | $17.78 | $30.20 |
United Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $39.81 Typical High $70.79 | Professional | TC · Technical part | $22.39 | $39.81 | $70.79 |
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 $14.79 Median $23.44 Typical High $23.44 | Professional | 52 · Reduced service | $14.79 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $9.33 Typical High $9.33 | Professional | 53 · Discontinued | $5.89 | $9.33 | $9.33 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $13.80 Median $23.44 Typical High $23.44 | Professional | 52 · Reduced service | $13.80 | $23.44 | $23.44 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $9.33 Typical High $9.33 | Professional | 53 · Discontinued | $5.50 | $9.33 | $9.33 |
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
$57.54
AK $95.50FL $26.92
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.