How much rates vary
Facilitymedian $46 · 10th to 90th $15 to $224Professionalmedian $59 · 10th to 90th $32 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 $45.71 Median $56.23 Typical High $77.62 | Facility | None | $45.71 | $56.23 | $77.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $45.71 Typical High $63.10 | Professional | None (both parts) | $26.92 | $45.71 | $63.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $11.22 Typical High $13.49 | Professional | 26 · Professional part | $7.41 | $11.22 | $13.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $34.67 Typical High $48.98 | Professional | TC · Technical part | $19.50 | $34.67 | $48.98 |
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 $36.31 Median $58.88 Typical High $97.72 | Professional | None (both parts) | $36.31 | $58.88 | $97.72 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $14.45 Typical High $24.55 | Professional | 26 · Professional part | $10.23 | $14.45 | $24.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $44.67 Typical High $77.62 | Professional | TC · Technical part | $26.92 | $44.67 | $77.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $67.61 Median $77.62 Typical High $95.50 | Professional | None | $67.61 | $77.62 | $95.50 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $19.05 Typical High $22.91 | Professional | 26 · Professional part | $15.85 | $19.05 | $22.91 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $58.88 Typical High $74.13 | Professional | TC · Technical part | $50.12 | $58.88 | $74.13 |
Moda Health Setting Facility Modifier None Typical Low $53.70 Median $83.18 Typical High $223.87 | Facility | None | $53.70 | $83.18 | $223.87 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $29.51 Median $45.71 Typical High $89.13 | Professional | None (both parts) | $29.51 | $45.71 | $89.13 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $11.22 Typical High $20.42 | Professional | 26 · Professional part | $7.59 | $11.22 | $20.42 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $34.67 Typical High $63.10 | Professional | TC · Technical part | $21.88 | $34.67 | $63.10 |
Pacific Source Setting Facility Modifier None Typical Low $13.18 Median $37.15 Typical High $63.10 | Facility | None | $13.18 | $37.15 | $63.10 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $18.20 Median $18.20 Typical High $40.74 | Professional | None (both parts) | $18.20 | $18.20 | $40.74 |
Providence Setting Facility Modifier None Typical Low $63.10 Median $89.13 Typical High $346.74 | Facility | None | $63.10 | $89.13 | $346.74 |
Providence Setting Professional Modifier None (both parts) Typical Low $48.98 Median $63.10 Typical High $97.72 | Professional | None (both parts) | $48.98 | $63.10 | $97.72 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $16.98 Typical High $23.99 | Professional | 26 · Professional part | $11.75 | $16.98 | $23.99 |
Providence Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $45.71 Typical High $74.13 | Professional | TC · Technical part | $30.20 | $45.71 | $74.13 |
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 $56.23 Median $64.57 Typical High $93.33 | Professional | None (both parts) | $56.23 | $64.57 | $93.33 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $15.49 Typical High $23.44 | Professional | 26 · Professional part | $14.79 | $15.49 | $23.44 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $50.12 Typical High $70.79 | Professional | TC · Technical part | $42.66 | $50.12 | $70.79 |
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 $29.51 Median $54.95 Typical High $97.72 | Professional | None (both parts) | $29.51 | $54.95 | $97.72 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $15.49 Typical High $26.30 | Professional | 26 · Professional part | $8.91 | $15.49 | $26.30 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $39.81 Typical High $72.44 | Professional | TC · Technical part | $20.89 | $39.81 | $72.44 |
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 $14.45 Median $22.91 Typical High $22.91 | Professional | 52 · Reduced service | $14.45 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $9.12 Typical High $9.12 | Professional | 53 · Discontinued | $5.75 | $9.12 | $9.12 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $13.49 Median $22.91 Typical High $22.91 | Professional | 52 · Reduced service | $13.49 | $22.91 | $22.91 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $9.12 Typical High $9.12 | Professional | 53 · Discontinued | $5.37 | $9.12 | $9.12 |
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
$56.23
AK $95.50FL $25.70
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.