How much rates vary
Facilitymedian $28 · 10th to 90th $16 to $56Professionalmedian $54 · 10th to 90th $41 to $105
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 Professional Modifier None (both parts) Typical Low $25.12 Median $40.74 Typical High $40.74 | Professional | None (both parts) | $25.12 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $13.80 Typical High $13.80 | Professional | 26 · Professional part | $8.91 | $13.80 | $13.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $26.30 Typical High $26.30 | Professional | TC · Technical part | $16.22 | $26.30 | $26.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $52.48 Typical High $85.11 | Professional | None (both parts) | $35.48 | $52.48 | $85.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $17.78 Typical High $29.51 | Professional | 26 · Professional part | $12.30 | $17.78 | $29.51 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $34.67 Typical High $54.95 | Professional | TC · Technical part | $23.99 | $34.67 | $54.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $52.48 Median $61.66 Typical High $75.86 | Professional | None | $52.48 | $61.66 | $75.86 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $21.88 Typical High $25.12 | Professional | 26 · Professional part | $17.78 | $21.88 | $25.12 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $38.90 Typical High $50.12 | Professional | TC · Technical part | $33.88 | $38.90 | $50.12 |
Moda Health Setting Facility Modifier None Typical Low $23.44 Median $40.74 Typical High $72.44 | Facility | None | $23.44 | $40.74 | $72.44 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $25.12 Median $40.74 Typical High $40.74 | Professional | None (both parts) | $25.12 | $40.74 | $40.74 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $13.80 Typical High $26.92 | Professional | 26 · Professional part | $9.33 | $13.80 | $26.92 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $26.30 Typical High $26.30 | Professional | TC · Technical part | $16.22 | $26.30 | $26.30 |
Pacific Source Setting Facility Modifier None Typical Low $14.45 Median $21.38 Typical High $56.23 | Facility | None | $14.45 | $21.38 | $56.23 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $10.72 Median $18.20 Typical High $36.31 | Professional | None (both parts) | $10.72 | $18.20 | $36.31 |
Providence Setting Facility Modifier None Typical Low $23.44 Median $38.02 Typical High $72.44 | Facility | None | $23.44 | $38.02 | $72.44 |
Providence Setting Professional Modifier None (both parts) Typical Low $42.66 Median $58.88 Typical High $85.11 | Professional | None (both parts) | $42.66 | $58.88 | $85.11 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $20.89 Typical High $28.84 | Professional | 26 · Professional part | $14.45 | $20.89 | $28.84 |
Providence Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $38.90 Typical High $54.95 | Professional | TC · Technical part | $28.18 | $38.90 | $54.95 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $51.29 Median $53.70 Typical High $79.43 | Professional | None (both parts) | $51.29 | $53.70 | $79.43 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $19.05 Typical High $27.54 | Professional | 26 · Professional part | $17.78 | $19.05 | $27.54 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $35.48 Typical High $52.48 | Professional | TC · Technical part | $33.11 | $35.48 | $52.48 |
United Setting Professional Modifier None (both parts) Typical Low $52.48 Median $93.33 Typical High $169.82 | Professional | None (both parts) | $52.48 | $93.33 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $18.62 Typical High $31.62 | Professional | 26 · Professional part | $10.72 | $18.62 | $31.62 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $74.13 Typical High $138.04 | Professional | TC · Technical part | $39.81 | $74.13 | $138.04 |
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 Facility Modifier 53 · Discontinued Typical Low $20.42 Median $20.42 Typical High $26.30 | Facility | 53 · Discontinued | $20.42 | $20.42 | $26.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.59 Median $20.42 Typical High $20.42 | Professional | 52 · Reduced service | $12.59 | $20.42 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $8.13 Typical High $8.13 | Professional | 53 · Discontinued | $5.01 | $8.13 | $8.13 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $11.75 Median $20.42 Typical High $20.42 | Professional | 52 · Reduced service | $11.75 | $20.42 | $20.42 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $8.13 Typical High $8.13 | Professional | 53 · Discontinued | $4.68 | $8.13 | $8.13 |
Where Oregon sits
The same service costs 4.7 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· 15th of 51
$51.29
AK $110FL $23.44
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.