How much rates vary
Facilitymedian $66 · 10th to 90th $21 to $363Professionalmedian $71 · 10th to 90th $39 to $117
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 $54.95 Median $67.61 Typical High $95.50 | Facility | None | $54.95 | $67.61 | $95.50 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $40.74 Median $56.23 Typical High $204.17 | Facility | TC · Technical part | $40.74 | $56.23 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $54.95 Typical High $79.43 | Professional | None (both parts) | $36.31 | $54.95 | $79.43 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $14.79 Typical High $22.39 | Professional | 26 · Professional part | $10.00 | $14.79 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $40.74 Typical High $58.88 | Professional | TC · Technical part | $26.92 | $40.74 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $346.74 Typical High $398.11 | Facility | None | $229.09 | $346.74 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $70.79 Typical High $114.82 | Professional | None (both parts) | $46.77 | $70.79 | $114.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $19.05 Typical High $33.11 | Professional | 26 · Professional part | $12.88 | $19.05 | $33.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $52.48 Typical High $91.20 | Professional | TC · Technical part | $32.36 | $52.48 | $91.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $81.28 Median $93.33 Typical High $114.82 | Professional | None | $81.28 | $93.33 | $114.82 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $24.55 Typical High $28.18 | Professional | 26 · Professional part | $20.42 | $24.55 | $28.18 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $67.61 Typical High $87.10 | Professional | TC · Technical part | $58.88 | $67.61 | $87.10 |
Moda Health Setting Facility Modifier None Typical Low $64.57 Median $194.98 Typical High $489.78 | Facility | None | $64.57 | $194.98 | $489.78 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $48.98 Median $331.13 Typical High $588.84 | Facility | TC · Technical part | $48.98 | $331.13 | $588.84 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $38.90 Median $58.88 Typical High $141.25 | Professional | None (both parts) | $38.90 | $58.88 | $141.25 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $19.05 Typical High $42.66 | Professional | 26 · Professional part | $10.96 | $19.05 | $42.66 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $51.29 Typical High $87.10 | Professional | TC · Technical part | $30.20 | $51.29 | $87.10 |
Pacific Source Setting Facility Modifier None Typical Low $18.20 Median $47.86 Typical High $77.62 | Facility | None | $18.20 | $47.86 | $77.62 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $16.22 Median $16.22 Typical High $33.88 | Professional | None (both parts) | $16.22 | $16.22 | $33.88 |
Providence Setting Facility Modifier None Typical Low $83.18 Median $107.15 Typical High $346.74 | Facility | None | $83.18 | $107.15 | $346.74 |
Providence Setting Professional Modifier None (both parts) Typical Low $58.88 Median $77.62 Typical High $117.49 | Professional | None (both parts) | $58.88 | $77.62 | $117.49 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $21.88 Typical High $31.62 | Professional | 26 · Professional part | $15.49 | $21.88 | $31.62 |
Providence Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $52.48 Typical High $87.10 | Professional | TC · Technical part | $38.02 | $52.48 | $87.10 |
Regence BlueShield Setting Facility Modifier None Typical Low $309.03 Median $389.05 Typical High $501.19 | Facility | None | $309.03 | $389.05 | $501.19 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $67.61 Median $77.62 Typical High $109.65 | Professional | None (both parts) | $67.61 | $77.62 | $109.65 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $20.89 Typical High $29.51 | Professional | 26 · Professional part | $19.95 | $20.89 | $29.51 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $57.54 Typical High $81.28 | Professional | TC · Technical part | $47.86 | $57.54 | $81.28 |
United Setting Facility Modifier None Typical Low $331.13 Median $416.87 Typical High $512.86 | Facility | None | $331.13 | $416.87 | $512.86 |
United Setting Professional Modifier None (both parts) Typical Low $37.15 Median $66.07 Typical High $114.82 | Professional | None (both parts) | $37.15 | $66.07 | $114.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $19.50 Typical High $34.67 | Professional | 26 · Professional part | $11.48 | $19.50 | $34.67 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $46.77 Typical High $85.11 | Professional | TC · Technical part | $25.70 | $46.77 | $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 $17.38 Median $27.54 Typical High $27.54 | Professional | 52 · Reduced service | $17.38 | $27.54 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $10.96 Typical High $10.96 | Professional | 53 · Discontinued | $7.08 | $10.96 | $10.96 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $16.22 Median $27.54 Typical High $27.54 | Professional | 52 · Reduced service | $16.22 | $27.54 | $27.54 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $10.96 Typical High $10.96 | Professional | 53 · Discontinued | $6.61 | $10.96 | $10.96 |
Where Oregon sits
The same service costs 12.6 times more in Vermont 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
$69.18
VT $389FL $30.90
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.