How much rates vary
Facilitymedian $28 · 10th to 90th $13 to $195Professionalmedian $41 · 10th to 90th $23 to $62
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 $36.31 Median $41.69 Typical High $50.12 | Facility | None | $36.31 | $41.69 | $50.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $21.38 Median $29.51 Typical High $45.71 | Professional | None (both parts) | $21.38 | $29.51 | $45.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $10.23 Typical High $14.45 | Professional | 26 · Professional part | $6.46 | $10.23 | $14.45 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $19.50 Typical High $33.11 | Professional | TC · Technical part | $14.79 | $19.50 | $33.11 |
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 $27.54 Median $39.81 Typical High $66.07 | Professional | None (both parts) | $27.54 | $39.81 | $66.07 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $12.88 Typical High $22.39 | Professional | 26 · Professional part | $8.91 | $12.88 | $22.39 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $26.92 Typical High $43.65 | Professional | TC · Technical part | $18.62 | $26.92 | $43.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $42.66 Median $50.12 Typical High $61.66 | Professional | None | $42.66 | $50.12 | $61.66 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $16.60 Typical High $19.95 | Professional | 26 · Professional part | $14.13 | $16.60 | $19.95 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $33.11 Typical High $41.69 | Professional | TC · Technical part | $28.18 | $33.11 | $41.69 |
Moda Health Setting Facility Modifier None Typical Low $36.31 Median $72.44 Typical High $281.84 | Facility | None | $36.31 | $72.44 | $281.84 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $23.99 Median $97.72 Typical High $275.42 | Facility | TC · Technical part | $23.99 | $97.72 | $275.42 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $21.38 Median $30.20 Typical High $52.48 | Professional | None (both parts) | $21.38 | $30.20 | $52.48 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $10.23 Typical High $21.88 | Professional | 26 · Professional part | $6.76 | $10.23 | $21.88 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $19.50 Typical High $38.02 | Professional | TC · Technical part | $14.79 | $19.50 | $38.02 |
Pacific Source Setting Facility Modifier None Typical Low $12.02 Median $25.70 Typical High $42.66 | Facility | None | $12.02 | $25.70 | $42.66 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $9.55 Median $14.45 Typical High $28.18 | Professional | None (both parts) | $9.55 | $14.45 | $28.18 |
Providence Setting Facility Modifier None Typical Low $44.67 Median $63.10 Typical High $269.15 | Facility | None | $44.67 | $63.10 | $269.15 |
Providence Setting Professional Modifier None (both parts) Typical Low $32.36 Median $45.71 Typical High $64.57 | Professional | None (both parts) | $32.36 | $45.71 | $64.57 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $14.79 Typical High $21.88 | Professional | 26 · Professional part | $10.47 | $14.79 | $21.88 |
Providence Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $30.20 Typical High $42.66 | Professional | TC · Technical part | $21.88 | $30.20 | $42.66 |
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 $40.74 Median $42.66 Typical High $60.26 | Professional | None (both parts) | $40.74 | $42.66 | $60.26 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $14.45 Typical High $20.42 | Professional | 26 · Professional part | $13.49 | $14.45 | $20.42 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $28.18 Typical High $39.81 | Professional | TC · Technical part | $26.92 | $28.18 | $39.81 |
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 $21.88 Median $37.15 Typical High $64.57 | Professional | None (both parts) | $21.88 | $37.15 | $64.57 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $13.49 Typical High $23.99 | Professional | 26 · Professional part | $7.94 | $13.49 | $23.99 |
United Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $23.99 Typical High $42.66 | Professional | TC · Technical part | $13.80 | $23.99 | $42.66 |
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 $9.33 Median $14.79 Typical High $14.79 | Professional | 52 · Reduced service | $9.33 | $14.79 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $6.03 Typical High $6.03 | Professional | 53 · Discontinued | $3.80 | $6.03 | $6.03 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $8.71 Median $14.79 Typical High $14.79 | Professional | 52 · Reduced service | $8.71 | $14.79 | $14.79 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $6.03 Typical High $6.03 | Professional | 53 · Discontinued | $3.55 | $6.03 | $6.03 |
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
$38.02
AK $64.57FL $17.38
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.