How much rates vary
Facilitymedian $63 · 10th to 90th $13 to $269Professionalmedian $66 · 10th to 90th $32 to $112
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 $52.48 Median $64.57 Typical High $89.13 | Facility | None | $52.48 | $64.57 | $89.13 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $42.66 Median $60.26 Typical High $213.80 | Facility | TC · Technical part | $42.66 | $60.26 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $52.48 Typical High $74.13 | Professional | None (both parts) | $28.18 | $52.48 | $74.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $9.33 Typical High $13.49 | Professional | 26 · Professional part | $5.89 | $9.33 | $13.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $42.66 Typical High $63.10 | Professional | TC · Technical part | $22.39 | $42.66 | $63.10 |
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 $38.02 Median $66.07 Typical High $112.20 | Professional | None (both parts) | $38.02 | $66.07 | $112.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $11.75 Typical High $20.42 | Professional | 26 · Professional part | $8.13 | $11.75 | $20.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $54.95 Typical High $97.72 | Professional | TC · Technical part | $30.90 | $54.95 | $97.72 |
Kaiser Permanente Setting Professional Modifier None Typical Low $77.62 Median $91.20 Typical High $112.20 | Professional | None | $77.62 | $91.20 | $112.20 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $15.14 Typical High $18.20 | Professional | 26 · Professional part | $12.88 | $15.14 | $18.20 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $75.86 Typical High $95.50 | Professional | TC · Technical part | $64.57 | $75.86 | $95.50 |
Moda Health Setting Facility Modifier None Typical Low $63.10 Median $213.80 Typical High $338.84 | Facility | None | $63.10 | $213.80 | $338.84 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $32.36 Median $125.89 Typical High $316.23 | Facility | TC · Technical part | $32.36 | $125.89 | $316.23 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $25.12 Median $52.48 Typical High $112.20 | Professional | None (both parts) | $25.12 | $52.48 | $112.20 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $10.96 Typical High $25.12 | Professional | 26 · Professional part | $6.61 | $10.96 | $25.12 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $43.65 Typical High $81.28 | Professional | TC · Technical part | $25.70 | $43.65 | $81.28 |
Pacific Source Setting Facility Modifier None Typical Low $11.48 Median $47.86 Typical High $74.13 | Facility | None | $11.48 | $47.86 | $74.13 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $10.72 Median $10.72 Typical High $25.70 | Professional | None (both parts) | $10.72 | $10.72 | $25.70 |
Providence Setting Facility Modifier None Typical Low $67.61 Median $102.33 Typical High $269.15 | Facility | None | $67.61 | $102.33 | $269.15 |
Providence Setting Professional Modifier None (both parts) Typical Low $54.95 Median $72.44 Typical High $112.20 | Professional | None (both parts) | $54.95 | $72.44 | $112.20 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $13.49 Typical High $19.50 | Professional | 26 · Professional part | $9.55 | $13.49 | $19.50 |
Providence Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $56.23 Typical High $93.33 | Professional | TC · Technical part | $36.31 | $56.23 | $93.33 |
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 $64.57 Median $75.86 Typical High $107.15 | Professional | None (both parts) | $64.57 | $75.86 | $107.15 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $13.18 Typical High $18.62 | Professional | 26 · Professional part | $12.30 | $13.18 | $18.62 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $61.66 Typical High $87.10 | Professional | TC · Technical part | $52.48 | $61.66 | $87.10 |
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 $109.65 | Professional | None (both parts) | $30.90 | $60.26 | $109.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $12.30 Typical High $21.38 | Professional | 26 · Professional part | $7.08 | $12.30 | $21.38 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $48.98 Typical High $91.20 | Professional | TC · Technical part | $24.55 | $48.98 | $91.20 |
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 $15.85 Median $26.30 Typical High $26.30 | Professional | 52 · Reduced service | $15.85 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $10.47 Typical High $10.47 | Professional | 53 · Discontinued | $6.31 | $10.47 | $10.47 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $15.14 Median $26.30 Typical High $26.30 | Professional | 52 · Reduced service | $15.14 | $26.30 | $26.30 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $10.47 Typical High $10.47 | Professional | 53 · Discontinued | $6.17 | $10.47 | $10.47 |
Where Oregon sits
The same service costs 11.5 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
$64.57
VT $339FL $29.51
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.