How much rates vary
Facilitymedian $56 · 10th to 90th $16 to $269Professionalmedian $59 · 10th to 90th $30 to $100
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 $47.86 Median $58.88 Typical High $79.43 | Facility | None | $47.86 | $58.88 | $79.43 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $36.31 Median $51.29 Typical High $181.97 | Facility | TC · Technical part | $36.31 | $51.29 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $47.86 Typical High $67.61 | Professional | None (both parts) | $27.54 | $47.86 | $67.61 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $11.22 Typical High $16.60 | Professional | 26 · Professional part | $7.94 | $11.22 | $16.60 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $36.31 Typical High $51.29 | Professional | TC · Technical part | $19.50 | $36.31 | $51.29 |
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 $37.15 Median $60.26 Typical High $100.00 | Professional | None (both parts) | $37.15 | $60.26 | $100.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $14.13 Typical High $24.55 | Professional | 26 · Professional part | $10.00 | $14.13 | $24.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $46.77 Typical High $81.28 | Professional | TC · Technical part | $27.54 | $46.77 | $81.28 |
Kaiser Permanente Setting Professional Modifier None Typical Low $67.61 Median $79.43 Typical High $97.72 | Professional | None | $67.61 | $79.43 | $97.72 |
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 $52.48 Median $60.26 Typical High $77.62 | Professional | TC · Technical part | $52.48 | $60.26 | $77.62 |
Moda Health Setting Facility Modifier None Typical Low $58.88 Median $181.97 Typical High $354.81 | Facility | None | $58.88 | $181.97 | $354.81 |
Moda Health Setting Facility Modifier 26 · Professional part Typical Low $11.22 Median $16.60 Typical High $77.62 | Facility | 26 · Professional part | $11.22 | $16.60 | $77.62 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $37.15 Median $95.50 Typical High $1,778.28 | Facility | TC · Technical part | $37.15 | $95.50 | $1,778.28 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $19.50 Median $47.86 Typical High $91.20 | Professional | None (both parts) | $19.50 | $47.86 | $91.20 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $12.88 Typical High $31.62 | Professional | 26 · Professional part | $7.94 | $12.88 | $31.62 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $36.31 Typical High $70.79 | Professional | TC · Technical part | $22.91 | $36.31 | $70.79 |
Pacific Source Setting Facility Modifier None Typical Low $13.80 Median $42.66 Typical High $67.61 | Facility | None | $13.80 | $42.66 | $67.61 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $10.96 Median $10.96 Typical High $36.31 | Professional | None (both parts) | $10.96 | $10.96 | $36.31 |
Providence Setting Facility Modifier None Typical Low $64.57 Median $91.20 Typical High $269.15 | Facility | None | $64.57 | $91.20 | $269.15 |
Providence Setting Professional Modifier None (both parts) Typical Low $51.29 Median $66.07 Typical High $100.00 | Professional | None (both parts) | $51.29 | $66.07 | $100.00 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $16.98 Typical High $23.44 | Professional | 26 · Professional part | $11.48 | $16.98 | $23.44 |
Providence Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $46.77 Typical High $77.62 | Professional | TC · Technical part | $32.36 | $46.77 | $77.62 |
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 $67.61 Typical High $95.50 | Professional | None (both parts) | $58.88 | $67.61 | $95.50 |
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 $43.65 Median $51.29 Typical High $72.44 | Professional | TC · Technical part | $43.65 | $51.29 | $72.44 |
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 $56.23 Typical High $102.33 | Professional | None (both parts) | $30.90 | $56.23 | $102.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $14.79 Typical High $25.70 | Professional | 26 · Professional part | $8.71 | $14.79 | $25.70 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $42.66 Typical High $75.86 | Professional | TC · Technical part | $21.88 | $42.66 | $75.86 |
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 $15.14 Median $23.99 Typical High $23.99 | Professional | 52 · Reduced service | $15.14 | $23.99 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $9.55 Typical High $9.55 | Professional | 53 · Discontinued | $6.03 | $9.55 | $9.55 |
Moda Health Setting Facility Modifier 50 · Both sides Typical Low $134.90 Median $288.40 Typical High $630.96 | Facility | 50 · Both sides | $134.90 | $288.40 | $630.96 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $14.13 Median $23.99 Typical High $23.99 | Professional | 52 · Reduced service | $14.13 | $23.99 | $23.99 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $9.55 Typical High $9.55 | Professional | 53 · Discontinued | $5.62 | $9.55 | $9.55 |
Where Oregon sits
The same service costs 12.9 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
$58.88
VT $347FL $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.