How much rates vary
Facilitymedian $42 · 10th to 90th $22 to $76Professionalmedian $66 · 10th to 90th $37 to $110
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 $53.70 Median $89.13 Typical High $95.50 | Facility | None | $53.70 | $89.13 | $95.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $53.70 Typical High $72.44 | Professional | None (both parts) | $30.90 | $53.70 | $72.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $18.20 Typical High $24.55 | Professional | 26 · Professional part | $12.88 | $18.20 | $24.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $34.67 Typical High $52.48 | Professional | TC · Technical part | $17.78 | $34.67 | $52.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $66.07 Typical High $109.65 | Professional | None (both parts) | $37.15 | $66.07 | $109.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $21.88 Typical High $38.90 | Professional | 26 · Professional part | $16.60 | $21.88 | $38.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $43.65 Typical High $72.44 | Professional | TC · Technical part | $21.88 | $43.65 | $72.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $77.62 Median $91.20 Typical High $114.82 | Professional | None | $77.62 | $91.20 | $114.82 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.20 Typical High $36.31 | Professional | 26 · Professional part | $25.70 | $30.20 | $36.31 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $60.26 Typical High $77.62 | Professional | TC · Technical part | $52.48 | $60.26 | $77.62 |
Moda Health Setting Facility Modifier None Typical Low $66.07 Median $131.83 Typical High $524.81 | Facility | None | $66.07 | $131.83 | $524.81 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $33.88 Median $53.70 Typical High $95.50 | Professional | None (both parts) | $33.88 | $53.70 | $95.50 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $18.20 Typical High $47.86 | Professional | 26 · Professional part | $13.18 | $18.20 | $47.86 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $34.67 Typical High $64.57 | Professional | TC · Technical part | $20.42 | $34.67 | $64.57 |
Pacific Source Setting Facility Modifier None Typical Low $21.88 Median $40.74 Typical High $75.86 | Facility | None | $21.88 | $40.74 | $75.86 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $16.22 Median $29.51 Typical High $48.98 | Professional | None (both parts) | $16.22 | $29.51 | $48.98 |
Providence Setting Facility Modifier None Typical Low $58.88 Median $85.11 Typical High $144.54 | Facility | None | $58.88 | $85.11 | $144.54 |
Providence Setting Professional Modifier None (both parts) Typical Low $56.23 Median $74.13 Typical High $112.20 | Professional | None (both parts) | $56.23 | $74.13 | $112.20 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $27.54 Typical High $39.81 | Professional | 26 · Professional part | $19.05 | $27.54 | $39.81 |
Providence Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $43.65 Typical High $72.44 | Professional | TC · Technical part | $28.18 | $43.65 | $72.44 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $69.18 Median $75.86 Typical High $107.15 | Professional | None (both parts) | $69.18 | $75.86 | $107.15 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $26.92 Typical High $37.15 | Professional | 26 · Professional part | $25.70 | $26.92 | $37.15 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $47.86 Typical High $69.18 | Professional | TC · Technical part | $44.67 | $47.86 | $69.18 |
United Setting Professional Modifier None (both parts) Typical Low $32.36 Median $40.74 Typical High $114.82 | Professional | None (both parts) | $32.36 | $40.74 | $114.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $16.22 Typical High $43.65 | Professional | 26 · Professional part | $14.79 | $16.22 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $24.55 Typical High $74.13 | Professional | TC · Technical part | $17.78 | $24.55 | $74.13 |
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 $16.98 Median $26.92 Typical High $26.92 | Professional | 52 · Reduced service | $16.98 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $10.72 Typical High $10.72 | Professional | 53 · Discontinued | $6.76 | $10.72 | $10.72 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $17.78 Median $26.92 Typical High $26.92 | Professional | 52 · Reduced service | $17.78 | $26.92 | $26.92 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $10.72 Typical High $10.72 | Professional | 53 · Discontinued | $7.08 | $10.72 | $10.72 |
Where Oregon sits
The same service costs 4.1 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
$57.54
AK $117FL $28.84
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.