How much rates vary
Facilitymedian $43 · 10th to 90th $14 to $240Professionalmedian $50 · 10th to 90th $28 to $83
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 $39.81 Median $48.98 Typical High $67.61 | Facility | None | $39.81 | $48.98 | $67.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $39.81 Typical High $56.23 | Professional | None (both parts) | $24.55 | $39.81 | $56.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $10.23 Typical High $15.14 | Professional | 26 · Professional part | $6.76 | $10.23 | $15.14 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $29.51 Typical High $40.74 | Professional | TC · Technical part | $17.78 | $29.51 | $40.74 |
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 $33.88 Median $50.12 Typical High $85.11 | Professional | None (both parts) | $33.88 | $50.12 | $85.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $12.88 Typical High $22.39 | Professional | 26 · Professional part | $8.91 | $12.88 | $22.39 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $37.15 Typical High $66.07 | Professional | TC · Technical part | $24.55 | $37.15 | $66.07 |
Kaiser Permanente Setting Professional Modifier None Typical Low $57.54 Median $66.07 Typical High $81.28 | Professional | None | $57.54 | $66.07 | $81.28 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $17.38 Typical High $20.89 | Professional | 26 · Professional part | $14.79 | $17.38 | $20.89 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $47.86 Typical High $61.66 | Professional | TC · Technical part | $41.69 | $47.86 | $61.66 |
Moda Health Setting Facility Modifier None Typical Low $44.67 Median $77.62 Typical High $309.03 | Facility | None | $44.67 | $77.62 | $309.03 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $30.20 Median $48.98 Typical High $275.42 | Facility | TC · Technical part | $30.20 | $48.98 | $275.42 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $24.55 Median $39.81 Typical High $83.18 | Professional | None (both parts) | $24.55 | $39.81 | $83.18 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $12.02 Typical High $23.44 | Professional | 26 · Professional part | $7.08 | $12.02 | $23.44 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $29.51 Typical High $54.95 | Professional | TC · Technical part | $20.42 | $29.51 | $54.95 |
Pacific Source Setting Facility Modifier None Typical Low $12.02 Median $34.67 Typical High $56.23 | Facility | None | $12.02 | $34.67 | $56.23 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $7.24 Median $18.20 Typical High $50.12 | Professional | None (both parts) | $7.24 | $18.20 | $50.12 |
Providence Setting Facility Modifier None Typical Low $58.88 Median $77.62 Typical High $269.15 | Facility | None | $58.88 | $77.62 | $269.15 |
Providence Setting Professional Modifier None (both parts) Typical Low $41.69 Median $56.23 Typical High $85.11 | Professional | None (both parts) | $41.69 | $56.23 | $85.11 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $14.79 Typical High $21.38 | Professional | 26 · Professional part | $10.47 | $14.79 | $21.38 |
Providence Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $39.81 Typical High $63.10 | Professional | TC · Technical part | $27.54 | $39.81 | $63.10 |
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 $51.29 Median $56.23 Typical High $79.43 | Professional | None (both parts) | $51.29 | $56.23 | $79.43 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $14.45 Typical High $20.42 | Professional | 26 · Professional part | $13.49 | $14.45 | $20.42 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $41.69 Typical High $58.88 | Professional | TC · Technical part | $38.02 | $41.69 | $58.88 |
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 $26.30 Median $47.86 Typical High $83.18 | Professional | None (both parts) | $26.30 | $47.86 | $83.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $13.49 Typical High $23.99 | Professional | 26 · Professional part | $7.94 | $13.49 | $23.99 |
United Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $34.67 Typical High $60.26 | Professional | TC · Technical part | $18.62 | $34.67 | $60.26 |
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 $12.30 Median $19.95 Typical High $19.95 | Professional | 52 · Reduced service | $12.30 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $7.94 Typical High $7.94 | Professional | 53 · Discontinued | $4.90 | $7.94 | $7.94 |
Moda Health Setting Facility Modifier 50 · Both sides Typical Low $109.65 Median $269.15 Typical High $302.00 | Facility | 50 · Both sides | $109.65 | $269.15 | $302.00 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $12.30 Median $19.95 Typical High $19.95 | Professional | 52 · Reduced service | $12.30 | $19.95 | $19.95 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $7.94 Typical High $7.94 | Professional | 53 · Discontinued | $4.57 | $7.94 | $7.94 |
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
$48.98
AK $83.18FL $22.39
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.