How much rates vary
Facilitymedian $46 · 10th to 90th $15 to $240Professionalmedian $55 · 10th to 90th $30 to $91
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 $60.26 Typical High $74.13 | Facility | None | $44.67 | $60.26 | $74.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $43.65 Typical High $58.88 | Professional | None (both parts) | $25.12 | $43.65 | $58.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $11.22 Typical High $15.85 | Professional | 26 · Professional part | $7.08 | $11.22 | $15.85 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $32.36 Typical High $45.71 | Professional | TC · Technical part | $17.78 | $32.36 | $45.71 |
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 $33.88 Median $54.95 Typical High $91.20 | Professional | None (both parts) | $33.88 | $54.95 | $91.20 |
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 $25.12 Median $41.69 Typical High $72.44 | Professional | TC · Technical part | $25.12 | $41.69 | $72.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $63.10 Median $72.44 Typical High $89.13 | Professional | None | $63.10 | $72.44 | $89.13 |
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 $46.77 Median $53.70 Typical High $67.61 | Professional | TC · Technical part | $46.77 | $53.70 | $67.61 |
Moda Health Setting Facility Modifier None Typical Low $48.98 Median $72.44 Typical High $380.19 | Facility | None | $48.98 | $72.44 | $380.19 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $25.12 Median $43.65 Typical High $93.33 | Professional | None (both parts) | $25.12 | $43.65 | $93.33 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $11.48 Typical High $23.99 | Professional | 26 · Professional part | $7.41 | $11.48 | $23.99 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $32.36 Typical High $61.66 | Professional | TC · Technical part | $20.42 | $32.36 | $61.66 |
Pacific Source Setting Facility Modifier None Typical Low $13.80 Median $38.90 Typical High $61.66 | Facility | None | $13.80 | $38.90 | $61.66 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $16.22 Median $18.20 Typical High $52.48 | Professional | None (both parts) | $16.22 | $18.20 | $52.48 |
Providence Setting Facility Modifier None Typical Low $58.88 Median $85.11 Typical High $346.74 | Facility | None | $58.88 | $85.11 | $346.74 |
Providence Setting Professional Modifier None (both parts) Typical Low $45.71 Median $60.26 Typical High $93.33 | Professional | None (both parts) | $45.71 | $60.26 | $93.33 |
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 $28.18 Median $41.69 Typical High $69.18 | Professional | TC · Technical part | $28.18 | $41.69 | $69.18 |
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 $52.48 Median $61.66 Typical High $87.10 | Professional | None (both parts) | $52.48 | $61.66 | $87.10 |
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 $38.90 Median $46.77 Typical High $64.57 | Professional | TC · Technical part | $38.90 | $46.77 | $64.57 |
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 $27.54 Median $51.29 Typical High $91.20 | Professional | None (both parts) | $27.54 | $51.29 | $91.20 |
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 $19.50 Median $37.15 Typical High $67.61 | Professional | TC · Technical part | $19.50 | $37.15 | $67.61 |
5 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 $13.80 Median $21.88 Typical High $21.88 | Professional | 52 · Reduced service | $13.80 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $8.71 Typical High $8.71 | Professional | 53 · Discontinued | $5.50 | $8.71 | $8.71 |
Moda Health Setting Facility Modifier 50 · Both sides Typical Low $58.88 Median $323.59 Typical High $436.52 | Facility | 50 · Both sides | $58.88 | $323.59 | $436.52 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $11.75 Median $21.88 Typical High $21.88 | Professional | 52 · Reduced service | $11.75 | $21.88 | $21.88 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $8.71 Typical High $8.71 | Professional | 53 · Discontinued | $5.13 | $8.71 | $8.71 |
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· 10th of 51
$52.48
AK $91.20FL $24.55
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.