How much rates vary
Facilitymedian $10 · 10th to 90th $5 to $151Professionalmedian $14 · 10th to 90th $8 to $22
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 $6.03 Median $9.55 Typical High $9.55 | Professional | None (both parts) | $6.03 | $9.55 | $9.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $2.29 Median $3.55 Typical High $3.55 | Professional | 26 · Professional part | $2.29 | $3.55 | $3.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.72 Median $6.03 Typical High $6.03 | Professional | TC · Technical part | $3.72 | $6.03 | $6.03 |
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 $10.47 Median $13.18 Typical High $23.44 | Professional | None (both parts) | $10.47 | $13.18 | $23.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $3.16 Median $4.57 Typical High $7.94 | Professional | 26 · Professional part | $3.16 | $4.57 | $7.94 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $6.92 Median $8.71 Typical High $16.22 | Professional | TC · Technical part | $6.92 | $8.71 | $16.22 |
Kaiser Permanente Setting Professional Modifier None Typical Low $14.79 Median $17.38 Typical High $21.38 | Professional | None | $14.79 | $17.38 | $21.38 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $5.89 Typical High $7.08 | Professional | 26 · Professional part | $5.01 | $5.89 | $7.08 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $9.77 Median $11.22 Typical High $14.45 | Professional | TC · Technical part | $9.77 | $11.22 | $14.45 |
Moda Health Setting Facility Modifier None Typical Low $9.55 Median $17.38 Typical High $22.39 | Facility | None | $9.55 | $17.38 | $22.39 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $8.32 Median $10.47 Typical High $21.38 | Professional | None (both parts) | $8.32 | $10.47 | $21.38 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $2.95 Median $3.55 Typical High $7.94 | Professional | 26 · Professional part | $2.95 | $3.55 | $7.94 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $5.37 Median $6.03 Typical High $14.79 | Professional | TC · Technical part | $5.37 | $6.03 | $14.79 |
Pacific Source Setting Facility Modifier None Typical Low $4.37 Median $8.91 Typical High $17.78 | Facility | None | $4.37 | $8.91 | $17.78 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $3.24 Median $4.37 Typical High $7.41 | Professional | None (both parts) | $3.24 | $4.37 | $7.41 |
Providence Setting Facility Modifier None Typical Low $15.14 Median $21.38 Typical High $346.74 | Facility | None | $15.14 | $21.38 | $346.74 |
Providence Setting Professional Modifier None (both parts) Typical Low $10.72 Median $15.49 Typical High $21.88 | Professional | None (both parts) | $10.72 | $15.49 | $21.88 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $3.72 Median $5.37 Typical High $7.76 | Professional | 26 · Professional part | $3.72 | $5.37 | $7.76 |
Providence Setting Professional Modifier TC · Technical part Typical Low $7.08 Median $9.77 Typical High $15.14 | Professional | TC · Technical part | $7.08 | $9.77 | $15.14 |
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 $13.18 Median $14.45 Typical High $20.42 | Professional | None (both parts) | $13.18 | $14.45 | $20.42 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $4.90 Median $5.25 Typical High $7.41 | Professional | 26 · Professional part | $4.90 | $5.25 | $7.41 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $8.32 Median $9.12 Typical High $12.88 | Professional | TC · Technical part | $8.32 | $9.12 | $12.88 |
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 $7.24 Median $14.45 Typical High $25.12 | Professional | None (both parts) | $7.24 | $14.45 | $25.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $2.88 Median $4.90 Typical High $8.71 | Professional | 26 · Professional part | $2.88 | $4.90 | $8.71 |
United Setting Professional Modifier TC · Technical part Typical Low $4.37 Median $8.71 Typical High $16.22 | Professional | TC · Technical part | $4.37 | $8.71 | $16.22 |
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 $4.68 Median $4.68 Typical High $6.03 | Facility | 53 · Discontinued | $4.68 | $4.68 | $6.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.02 Median $4.79 Typical High $4.79 | Professional | 52 · Reduced service | $3.02 | $4.79 | $4.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.20 Median $1.95 Typical High $1.95 | Professional | 53 · Discontinued | $1.20 | $1.95 | $1.95 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $2.82 Median $4.79 Typical High $4.79 | Professional | 52 · Reduced service | $2.82 | $4.79 | $4.79 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.12 Median $1.95 Typical High $1.95 | Professional | 53 · Discontinued | $1.12 | $1.95 | $1.95 |
Where Oregon sits
The same service costs 4.2 times more in Kansas 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· 14th of 51
$13.49
KS $23.99FL $5.75
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.