How much rates vary
Facilitymedian $200 · 10th to 90th $65 to $501Professionalmedian $219 · 10th to 90th $126 to $355
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 $173.78 Median $213.80 Typical High $288.40 | Facility | None | $173.78 | $213.80 | $288.40 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $128.82 Median $199.53 Typical High $645.65 | Facility | TC · Technical part | $128.82 | $199.53 | $645.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $173.78 Typical High $239.88 | Professional | None (both parts) | $112.20 | $173.78 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $45.71 Typical High $66.07 | Professional | 26 · Professional part | $29.51 | $45.71 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $128.82 Typical High $173.78 | Professional | TC · Technical part | $83.18 | $128.82 | $173.78 |
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 $128.82 Median $208.93 Typical High $346.74 | Professional | None (both parts) | $128.82 | $208.93 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $54.95 Typical High $95.50 | Professional | 26 · Professional part | $38.02 | $54.95 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $147.91 Typical High $257.04 | Professional | TC · Technical part | $95.50 | $147.91 | $257.04 |
HealthNet Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 26 · Professional part | $125.89 | $125.89 | $125.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $234.42 Median $263.03 Typical High $338.84 | Professional | None | $234.42 | $263.03 | $338.84 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $74.13 Typical High $87.10 | Professional | 26 · Professional part | $61.66 | $74.13 | $87.10 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $194.98 Typical High $245.47 | Professional | TC · Technical part | $165.96 | $194.98 | $245.47 |
Moda Health Setting Facility Modifier None Typical Low $199.53 Median $457.09 Typical High $645.65 | Facility | None | $199.53 | $457.09 | $645.65 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $131.83 Median $602.56 Typical High $912.01 | Facility | TC · Technical part | $131.83 | $602.56 | $912.01 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $125.89 Median $204.17 Typical High $436.52 | Professional | None (both parts) | $125.89 | $204.17 | $436.52 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $56.23 Typical High $120.23 | Professional | 26 · Professional part | $33.11 | $56.23 | $120.23 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $141.25 Typical High $257.04 | Professional | TC · Technical part | $93.33 | $141.25 | $257.04 |
Pacific Source Setting Facility Modifier None Typical Low $56.23 Median $154.88 Typical High $234.42 | Facility | None | $56.23 | $154.88 | $234.42 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $56.23 Median $83.18 Typical High $204.17 | Professional | None (both parts) | $56.23 | $83.18 | $204.17 |
Providence Setting Facility Modifier None Typical Low $234.42 Median $323.59 Typical High $436.52 | Facility | None | $234.42 | $323.59 | $436.52 |
Providence Setting Professional Modifier None (both parts) Typical Low $165.96 Median $229.09 Typical High $346.74 | Professional | None (both parts) | $165.96 | $229.09 | $346.74 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $64.57 Typical High $95.50 | Professional | 26 · Professional part | $46.77 | $64.57 | $95.50 |
Providence Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $158.49 Typical High $257.04 | Professional | TC · Technical part | $104.71 | $158.49 | $257.04 |
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 $223.87 Median $234.42 Typical High $323.59 | Professional | None (both parts) | $223.87 | $234.42 | $323.59 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $63.10 Typical High $91.20 | Professional | 26 · Professional part | $60.26 | $63.10 | $91.20 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $169.82 Typical High $234.42 | Professional | TC · Technical part | $162.18 | $169.82 | $234.42 |
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 $123.03 Median $141.25 Typical High $371.54 | Professional | None (both parts) | $123.03 | $141.25 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $38.90 Typical High $104.71 | Professional | 26 · Professional part | $34.67 | $38.90 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $102.33 Typical High $263.03 | Professional | TC · Technical part | $89.13 | $102.33 | $263.03 |
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 $54.95 Median $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $54.95 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $21.88 | $34.67 | $34.67 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $57.54 | $87.10 | $87.10 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $22.91 | $34.67 | $34.67 |
Moda Health Setting Professional Modifier 59 · Distinct service Typical Low $67.61 Median $125.89 Typical High $501.19 | Professional | 59 · Distinct service | $67.61 | $125.89 | $501.19 |
Where Oregon sits
The same service costs 3.6 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
$219
AK $355FL $97.72
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.