How much rates vary
Facilitymedian $50 · 10th to 90th $15 to $257Professionalmedian $56 · 10th to 90th $30 to $95
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 $44.67 Median $54.95 Typical High $75.86 | Facility | None | $44.67 | $54.95 | $75.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $44.67 Typical High $61.66 | Professional | None (both parts) | $25.70 | $44.67 | $61.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $11.22 Typical High $16.22 | Professional | 26 · Professional part | $7.08 | $11.22 | $16.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $33.88 Typical High $48.98 | Professional | TC · Technical part | $18.62 | $33.88 | $48.98 |
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 $35.48 Median $57.54 Typical High $95.50 | Professional | None (both parts) | $35.48 | $57.54 | $95.50 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $14.13 Typical High $24.55 | Professional | 26 · Professional part | $9.77 | $14.13 | $24.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $42.66 Typical High $75.86 | Professional | TC · Technical part | $26.30 | $42.66 | $75.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $66.07 Median $75.86 Typical High $95.50 | Professional | None | $66.07 | $75.86 | $95.50 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $18.20 Typical High $21.88 | Professional | 26 · Professional part | $15.49 | $18.20 | $21.88 |
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 $131.83 Typical High $281.84 | Facility | None | $53.70 | $131.83 | $281.84 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $35.48 Median $151.36 Typical High $269.15 | Facility | TC · Technical part | $35.48 | $151.36 | $269.15 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $25.12 Median $44.67 Typical High $95.50 | Professional | None (both parts) | $25.12 | $44.67 | $95.50 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $12.88 Typical High $27.54 | Professional | 26 · Professional part | $7.41 | $12.88 | $27.54 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $34.67 Typical High $64.57 | Professional | TC · Technical part | $21.38 | $34.67 | $64.57 |
Pacific Source Setting Facility Modifier None Typical Low $13.18 Median $38.02 Typical High $61.66 | Facility | None | $13.18 | $38.02 | $61.66 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $12.02 Median $12.02 Typical High $26.92 | Professional | None (both parts) | $12.02 | $12.02 | $26.92 |
Providence Setting Facility Modifier None Typical Low $61.66 Median $87.10 Typical High $269.15 | Facility | None | $61.66 | $87.10 | $269.15 |
Providence Setting Professional Modifier None (both parts) Typical Low $47.86 Median $61.66 Typical High $95.50 | Professional | None (both parts) | $47.86 | $61.66 | $95.50 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $16.22 Typical High $23.44 | Professional | 26 · Professional part | $11.48 | $16.22 | $23.44 |
Providence Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $43.65 Typical High $72.44 | Professional | TC · Technical part | $28.84 | $43.65 | $72.44 |
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 $54.95 Median $64.57 Typical High $91.20 | Professional | None (both parts) | $54.95 | $64.57 | $91.20 |
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 $40.74 Median $47.86 Typical High $69.18 | Professional | TC · Technical part | $40.74 | $47.86 | $69.18 |
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 $53.70 Typical High $95.50 | Professional | None (both parts) | $28.18 | $53.70 | $95.50 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $14.79 Typical High $25.70 | Professional | 26 · Professional part | $8.51 | $14.79 | $25.70 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $38.90 Typical High $70.79 | Professional | TC · Technical part | $19.95 | $38.90 | $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 $14.13 Median $22.39 Typical High $22.39 | Professional | 52 · Reduced service | $14.13 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $8.91 Typical High $8.91 | Professional | 53 · Discontinued | $5.62 | $8.91 | $8.91 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $13.18 Median $22.39 Typical High $22.39 | Professional | 52 · Reduced service | $13.18 | $22.39 | $22.39 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $8.91 Typical High $8.91 | Professional | 53 · Discontinued | $5.25 | $8.91 | $8.91 |
Where Oregon sits
The same service costs 6.0 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· 11th of 51
$54.95
VT $155FL $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.