How much rates vary
Facilitymedian $178 · 10th to 90th $52 to $457Professionalmedian $204 · 10th to 90th $117 to $324
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 $162.18 Median $199.53 Typical High $269.15 | Facility | None | $162.18 | $199.53 | $269.15 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $120.23 Median $177.83 Typical High $630.96 | Facility | TC · Technical part | $120.23 | $177.83 | $630.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $162.18 Typical High $204.17 | Professional | None (both parts) | $107.15 | $162.18 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $37.15 Typical High $50.12 | Professional | 26 · Professional part | $23.99 | $37.15 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $125.89 Typical High $162.18 | Professional | TC · Technical part | $83.18 | $125.89 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $346.74 Typical High $398.11 | Facility | None | $229.09 | $346.74 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $190.55 Typical High $323.59 | Professional | None (both parts) | $125.89 | $190.55 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $44.67 Typical High $77.62 | Professional | 26 · Professional part | $30.90 | $44.67 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $147.91 Typical High $251.19 | Professional | TC · Technical part | $97.72 | $147.91 | $251.19 |
HealthNet Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | 26 · Professional part | $79.43 | $79.43 | $79.43 |
Kaiser Permanente Setting Professional Modifier None Typical Low $208.93 Median $251.19 Typical High $309.03 | Professional | None | $208.93 | $251.19 | $309.03 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $60.26 Typical High $70.79 | Professional | 26 · Professional part | $50.12 | $60.26 | $70.79 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $190.55 Typical High $239.88 | Professional | TC · Technical part | $162.18 | $190.55 | $239.88 |
Moda Health Setting Facility Modifier None Typical Low $181.97 Median $426.58 Typical High $645.65 | Facility | None | $181.97 | $426.58 | $645.65 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $151.36 Median $467.74 Typical High $660.69 | Facility | TC · Technical part | $151.36 | $467.74 | $660.69 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $120.23 Median $181.97 Typical High $354.81 | Professional | None (both parts) | $120.23 | $181.97 | $354.81 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $44.67 Typical High $102.33 | Professional | 26 · Professional part | $26.92 | $44.67 | $102.33 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $125.89 Typical High $251.19 | Professional | TC · Technical part | $83.18 | $125.89 | $251.19 |
Pacific Source Setting Facility Modifier None Typical Low $45.71 Median $151.36 Typical High $223.87 | Facility | None | $45.71 | $151.36 | $223.87 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $45.71 Median $67.61 Typical High $199.53 | Professional | None (both parts) | $45.71 | $67.61 | $199.53 |
Providence Setting Facility Modifier None Typical Low $229.09 Median $295.12 Typical High $407.38 | Facility | None | $229.09 | $295.12 | $407.38 |
Providence Setting Professional Modifier None (both parts) Typical Low $165.96 Median $218.78 Typical High $323.59 | Professional | None (both parts) | $165.96 | $218.78 | $323.59 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $51.29 Typical High $77.62 | Professional | 26 · Professional part | $38.90 | $51.29 | $77.62 |
Providence Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $162.18 Typical High $251.19 | Professional | TC · Technical part | $123.03 | $162.18 | $251.19 |
Regence BlueShield Setting Facility Modifier None Typical Low $309.03 Median $389.05 Typical High $501.19 | Facility | None | $309.03 | $389.05 | $501.19 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $204.17 Median $213.80 Typical High $302.00 | Professional | None (both parts) | $204.17 | $213.80 | $302.00 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $51.29 Typical High $74.13 | Professional | 26 · Professional part | $48.98 | $51.29 | $74.13 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $165.96 Typical High $229.09 | Professional | TC · Technical part | $154.88 | $165.96 | $229.09 |
United Setting Facility Modifier None Typical Low $331.13 Median $416.87 Typical High $512.86 | Facility | None | $331.13 | $416.87 | $512.86 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $131.83 Typical High $346.74 | Professional | None (both parts) | $117.49 | $131.83 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $31.62 Typical High $85.11 | Professional | 26 · Professional part | $28.18 | $31.62 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $100.00 Typical High $263.03 | Professional | TC · Technical part | $89.13 | $100.00 | $263.03 |
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 $51.29 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $51.29 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $33.11 Typical High $33.11 | Professional | 53 · Discontinued | $20.42 | $33.11 | $33.11 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $53.70 | $81.28 | $81.28 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $33.11 Typical High $33.11 | Professional | 53 · Discontinued | $21.38 | $33.11 | $33.11 |
Where Oregon sits
The same service costs 4.1 times more in Minnesota 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
$200
MN $363FL $89.13
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.