How much rates vary
Facilitymedian $59 · 10th to 90th $17 to $331Professionalmedian $63 · 10th to 90th $31 to $107
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 $51.29 Median $61.66 Typical High $87.10 | Facility | None | $51.29 | $61.66 | $87.10 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $38.90 Median $58.88 Typical High $194.98 | Facility | TC · Technical part | $38.90 | $58.88 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $51.29 Typical High $70.79 | Professional | None (both parts) | $28.84 | $51.29 | $70.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $11.48 Typical High $17.38 | Professional | 26 · Professional part | $7.41 | $11.48 | $17.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $38.90 Typical High $57.54 | Professional | TC · Technical part | $21.88 | $38.90 | $57.54 |
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 $66.07 Typical High $109.65 | Professional | None (both parts) | $40.74 | $66.07 | $109.65 |
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 $28.84 Median $51.29 Typical High $89.13 | Professional | TC · Technical part | $28.84 | $51.29 | $89.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $75.86 Median $87.10 Typical High $109.65 | Professional | None | $75.86 | $87.10 | $109.65 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $19.95 Typical High $23.44 | Professional | 26 · Professional part | $16.60 | $19.95 | $23.44 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $67.61 Typical High $87.10 | Professional | TC · Technical part | $58.88 | $67.61 | $87.10 |
Moda Health Setting Facility Modifier None Typical Low $57.54 Median $213.80 Typical High $467.74 | Facility | None | $57.54 | $213.80 | $467.74 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $39.81 Median $162.18 Typical High $398.11 | Facility | TC · Technical part | $39.81 | $162.18 | $398.11 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $19.05 Median $51.29 Typical High $107.15 | Professional | None (both parts) | $19.05 | $51.29 | $107.15 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $14.13 Typical High $31.62 | Professional | 26 · Professional part | $8.32 | $14.13 | $31.62 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $41.69 Typical High $81.28 | Professional | TC · Technical part | $25.70 | $41.69 | $81.28 |
Pacific Source Setting Facility Modifier None Typical Low $14.13 Median $45.71 Typical High $74.13 | Facility | None | $14.13 | $45.71 | $74.13 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $8.51 Median $17.38 Typical High $43.65 | Professional | None (both parts) | $8.51 | $17.38 | $43.65 |
Providence Setting Facility Modifier None Typical Low $69.18 Median $100.00 Typical High $269.15 | Facility | None | $69.18 | $100.00 | $269.15 |
Providence Setting Professional Modifier None (both parts) Typical Low $54.95 Median $70.79 Typical High $109.65 | Professional | None (both parts) | $54.95 | $70.79 | $109.65 |
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 $33.11 Median $51.29 Typical High $85.11 | Professional | TC · Technical part | $33.11 | $51.29 | $85.11 |
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 $61.66 Median $72.44 Typical High $104.71 | Professional | None (both parts) | $61.66 | $72.44 | $104.71 |
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 $47.86 Median $56.23 Typical High $81.28 | Professional | TC · Technical part | $47.86 | $56.23 | $81.28 |
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 $30.90 Median $60.26 Typical High $107.15 | Professional | None (both parts) | $30.90 | $60.26 | $107.15 |
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 $44.67 Typical High $83.18 | Professional | TC · Technical part | $22.39 | $44.67 | $83.18 |
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 $16.22 Median $25.12 Typical High $25.12 | Professional | 52 · Reduced service | $16.22 | $25.12 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $10.23 Typical High $10.23 | Professional | 53 · Discontinued | $6.46 | $10.23 | $10.23 |
Moda Health Setting Facility Modifier 50 · Both sides Typical Low $407.38 Median $501.19 Typical High $831.76 | Facility | 50 · Both sides | $407.38 | $501.19 | $831.76 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $14.79 Median $25.12 Typical High $25.12 | Professional | 52 · Reduced service | $14.79 | $25.12 | $25.12 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $10.23 Typical High $10.23 | Professional | 53 · Discontinued | $6.03 | $10.23 | $10.23 |
Where Oregon sits
The same service costs 13.5 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· 10th of 51
$61.66
VT $389FL $28.84
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.