How much rates vary
Facilitymedian $48 · 10th to 90th $15 to $257Professionalmedian $56 · 10th to 90th $30 to $93
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 $45.71 Median $56.23 Typical High $75.86 | Facility | None | $45.71 | $56.23 | $75.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $45.71 Typical High $61.66 | Professional | None (both parts) | $25.70 | $45.71 | $61.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $11.22 Typical High $16.22 | Professional | 26 · Professional part | $7.08 | $11.22 | $16.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $33.88 Typical High $47.86 | Professional | TC · Technical part | $18.62 | $33.88 | $47.86 |
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 $35.48 Median $56.23 Typical High $93.33 | Professional | None (both parts) | $35.48 | $56.23 | $93.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $13.49 Typical High $23.44 | Professional | 26 · Professional part | $9.33 | $13.49 | $23.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $43.65 Typical High $75.86 | Professional | TC · Technical part | $26.30 | $43.65 | $75.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $64.57 Median $74.13 Typical High $93.33 | Professional | None | $64.57 | $74.13 | $93.33 |
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 $48.98 Median $56.23 Typical High $70.79 | Professional | TC · Technical part | $48.98 | $56.23 | $70.79 |
Moda Health Setting Facility Modifier None Typical Low $50.12 Median $141.25 Typical High $354.81 | Facility | None | $50.12 | $141.25 | $354.81 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $34.67 Median $57.54 Typical High $331.13 | Facility | TC · Technical part | $34.67 | $57.54 | $331.13 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $25.70 Median $45.71 Typical High $93.33 | Professional | None (both parts) | $25.70 | $45.71 | $93.33 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $11.75 Typical High $24.55 | Professional | 26 · Professional part | $7.41 | $11.75 | $24.55 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $33.88 Typical High $63.10 | Professional | TC · Technical part | $20.89 | $33.88 | $63.10 |
Pacific Source Setting Facility Modifier None Typical Low $12.59 Median $38.02 Typical High $63.10 | Facility | None | $12.59 | $38.02 | $63.10 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $12.02 Median $12.02 Typical High $32.36 | Professional | None (both parts) | $12.02 | $12.02 | $32.36 |
Providence Setting Facility Modifier None Typical Low $60.26 Median $87.10 Typical High $269.15 | Facility | None | $60.26 | $87.10 | $269.15 |
Providence Setting Professional Modifier None (both parts) Typical Low $47.86 Median $61.66 Typical High $95.50 | Professional | None (both parts) | $47.86 | $61.66 | $95.50 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $15.85 Typical High $22.91 | Professional | 26 · Professional part | $10.96 | $15.85 | $22.91 |
Providence Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $43.65 Typical High $72.44 | Professional | TC · Technical part | $30.20 | $43.65 | $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 $53.70 Median $63.10 Typical High $89.13 | Professional | None (both parts) | $53.70 | $63.10 | $89.13 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $15.14 Typical High $21.38 | Professional | 26 · Professional part | $14.13 | $15.14 | $21.38 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $47.86 Typical High $67.61 | Professional | TC · Technical part | $40.74 | $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 $29.51 Median $53.70 Typical High $95.50 | Professional | None (both parts) | $29.51 | $53.70 | $95.50 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $14.79 Typical High $25.12 | Professional | 26 · Professional part | $8.51 | $14.79 | $25.12 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $39.81 Typical High $70.79 | Professional | TC · Technical part | $20.89 | $39.81 | $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 $22.91 Typical High $22.91 | Professional | 52 · Reduced service | $14.13 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $9.12 Typical High $9.12 | Professional | 53 · Discontinued | $5.62 | $9.12 | $9.12 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $14.13 Median $22.91 Typical High $22.91 | Professional | 52 · Reduced service | $14.13 | $22.91 | $22.91 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $9.12 Typical High $9.12 | Professional | 53 · Discontinued | $5.25 | $9.12 | $9.12 |
Where Oregon sits
The same service costs 3.8 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· 9th of 51
$54.95
AK $95.50FL $25.12
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.