How much rates vary
Facilitymedian $54 · 10th to 90th $16 to $295Professionalmedian $58 · 10th to 90th $32 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 $46.77 Median $61.66 Typical High $75.86 | Facility | None | $46.77 | $61.66 | $75.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $44.67 Typical High $67.61 | Professional | None (both parts) | $30.90 | $44.67 | $67.61 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $11.48 Typical High $16.98 | Professional | 26 · Professional part | $7.41 | $11.48 | $16.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $33.11 Typical High $50.12 | Professional | TC · Technical part | $23.44 | $33.11 | $50.12 |
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 $40.74 Median $58.88 Typical High $102.33 | Professional | None (both parts) | $40.74 | $58.88 | $102.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $14.79 Typical High $25.70 | Professional | 26 · Professional part | $10.23 | $14.79 | $25.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $45.71 Typical High $75.86 | Professional | TC · Technical part | $30.20 | $45.71 | $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 $15.85 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 $48.98 Median $56.23 Typical High $72.44 | Professional | TC · Technical part | $48.98 | $56.23 | $72.44 |
Moda Health Setting Facility Modifier None Typical Low $53.70 Median $165.96 Typical High $389.05 | Facility | None | $53.70 | $165.96 | $389.05 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $40.74 Median $239.88 Typical High $295.12 | Facility | TC · Technical part | $40.74 | $239.88 | $295.12 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $23.44 Median $45.71 Typical High $93.33 | Professional | None (both parts) | $23.44 | $45.71 | $93.33 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $13.49 Typical High $31.62 | Professional | 26 · Professional part | $8.32 | $13.49 | $31.62 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $40.74 Typical High $66.07 | Professional | TC · Technical part | $26.92 | $40.74 | $66.07 |
Pacific Source Setting Facility Modifier None Typical Low $13.80 Median $39.81 Typical High $64.57 | Facility | None | $13.80 | $39.81 | $64.57 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $9.55 Median $12.30 Typical High $34.67 | Professional | None (both parts) | $9.55 | $12.30 | $34.67 |
Providence Setting Facility Modifier None Typical Low $67.61 Median $93.33 Typical High $269.15 | Facility | None | $67.61 | $93.33 | $269.15 |
Providence Setting Professional Modifier None (both parts) Typical Low $50.12 Median $66.07 Typical High $97.72 | Professional | None (both parts) | $50.12 | $66.07 | $97.72 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $16.98 Typical High $24.55 | Professional | 26 · Professional part | $11.75 | $16.98 | $24.55 |
Providence Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $48.98 Typical High $72.44 | Professional | TC · Technical part | $35.48 | $48.98 | $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 $58.88 Median $64.57 Typical High $91.20 | Professional | None (both parts) | $58.88 | $64.57 | $91.20 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $16.22 Typical High $23.44 | Professional | 26 · Professional part | $15.14 | $16.22 | $23.44 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $47.86 Typical High $67.61 | Professional | TC · Technical part | $42.66 | $47.86 | $67.61 |
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 $31.62 Median $53.70 Typical High $95.50 | Professional | None (both parts) | $31.62 | $53.70 | $95.50 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $15.49 Typical High $26.92 | Professional | 26 · Professional part | $8.91 | $15.49 | $26.92 |
United Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $38.90 Typical High $70.79 | Professional | TC · Technical part | $22.39 | $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 $5.75 Median $8.91 Typical High $8.91 | Professional | 53 · Discontinued | $5.75 | $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 $5.37 Median $8.91 Typical High $8.91 | Professional | 53 · Discontinued | $5.37 | $8.91 | $8.91 |
Where Oregon sits
The same service costs 15.1 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
$56.23
VT $407FL $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.