How much rates vary
Facilitymedian $16 · 10th to 90th $7 to $65Professionalmedian $21 · 10th to 90th $12 to $33
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 $19.50 Median $19.50 Typical High $19.50 | Facility | None | $19.50 | $19.50 | $19.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $12.02 Median $15.85 Typical High $19.95 | Professional | None (both parts) | $12.02 | $15.85 | $19.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $10.72 Typical High $12.59 | Professional | 26 · Professional part | $7.94 | $10.72 | $12.59 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.89 Median $5.13 Typical High $6.31 | Professional | TC · Technical part | $3.89 | $5.13 | $6.31 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $77.62 Typical High $91.20 | Facility | None | $52.48 | $77.62 | $91.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $14.45 Median $19.05 Typical High $34.67 | Professional | None (both parts) | $14.45 | $19.05 | $34.67 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $12.88 Typical High $23.44 | Professional | 26 · Professional part | $10.23 | $12.88 | $23.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $4.68 Median $6.31 Typical High $11.22 | Professional | TC · Technical part | $4.68 | $6.31 | $11.22 |
Kaiser Permanente Setting Professional Modifier None Typical Low $22.39 Median $26.30 Typical High $32.36 | Professional | None | $22.39 | $26.30 | $32.36 |
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 $7.59 Median $8.91 Typical High $11.48 | Professional | TC · Technical part | $7.59 | $8.91 | $11.48 |
Moda Health Setting Facility Modifier None Typical Low $19.50 Median $36.31 Typical High $141.25 | Facility | None | $19.50 | $36.31 | $141.25 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $12.02 Median $16.98 Typical High $33.11 | Professional | None (both parts) | $12.02 | $16.98 | $33.11 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.72 Typical High $20.42 | Professional | 26 · Professional part | $8.32 | $10.72 | $20.42 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $3.89 Median $5.13 Typical High $9.55 | Professional | TC · Technical part | $3.89 | $5.13 | $9.55 |
Pacific Source Setting Facility Modifier None Typical Low $6.92 Median $15.14 Typical High $22.91 | Facility | None | $6.92 | $15.14 | $22.91 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $5.75 Median $6.31 Typical High $13.18 | Professional | None (both parts) | $5.75 | $6.31 | $13.18 |
Providence Setting Facility Modifier None Typical Low $23.44 Median $33.88 Typical High $77.62 | Facility | None | $23.44 | $33.88 | $77.62 |
Providence Setting Professional Modifier None (both parts) Typical Low $16.60 Median $24.55 Typical High $34.67 | Professional | None (both parts) | $16.60 | $24.55 | $34.67 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $16.60 Typical High $22.91 | Professional | 26 · Professional part | $11.22 | $16.60 | $22.91 |
Providence Setting Professional Modifier TC · Technical part Typical Low $5.50 Median $7.94 Typical High $11.48 | Professional | TC · Technical part | $5.50 | $7.94 | $11.48 |
Regence BlueShield Setting Facility Modifier None Typical Low $58.88 Median $87.10 Typical High $107.15 | Facility | None | $58.88 | $87.10 | $107.15 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $20.89 Median $22.39 Typical High $31.62 | Professional | None (both parts) | $20.89 | $22.39 | $31.62 |
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 $6.76 Median $7.24 Typical High $10.23 | Professional | TC · Technical part | $6.76 | $7.24 | $10.23 |
United Setting Facility Modifier None Typical Low $91.20 Median $114.82 Typical High $141.25 | Facility | None | $91.20 | $114.82 | $141.25 |
United Setting Professional Modifier None (both parts) Typical Low $12.30 Median $15.49 Typical High $37.15 | Professional | None (both parts) | $12.30 | $15.49 | $37.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.00 Typical High $25.12 | Professional | 26 · Professional part | $8.32 | $10.00 | $25.12 |
United Setting Professional Modifier TC · Technical part Typical Low $3.98 Median $5.37 Typical High $12.02 | Professional | TC · Technical part | $3.98 | $5.37 | $12.02 |
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 $5.37 Median $7.94 Typical High $7.94 | Professional | 52 · Reduced service | $5.37 | $7.94 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $3.16 Typical High $3.16 | Professional | 53 · Discontinued | $2.14 | $3.16 | $3.16 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $5.62 Median $7.94 Typical High $7.94 | Professional | 52 · Reduced service | $5.62 | $7.94 | $7.94 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $3.16 Typical High $3.16 | Professional | 53 · Discontinued | $2.24 | $3.16 | $3.16 |
Where Oregon sits
The same service costs 3.9 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· 11th of 51
$19.95
AK $35.48FL $9.12
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.