How much rates vary
Facilitymedian $41 · 10th to 90th $19 to $83Professionalmedian $62 · 10th to 90th $39 to $95
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 $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $41.69 Typical High $61.66 | Professional | None (both parts) | $35.48 | $41.69 | $61.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $14.13 Typical High $20.42 | Professional | 26 · Professional part | $12.02 | $14.13 | $20.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $28.18 Typical High $43.65 | Professional | TC · Technical part | $21.38 | $28.18 | $43.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $56.23 Typical High $93.33 | Professional | None (both parts) | $43.65 | $56.23 | $93.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $18.62 Typical High $31.62 | Professional | 26 · Professional part | $15.14 | $18.62 | $31.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $37.15 Typical High $63.10 | Professional | TC · Technical part | $26.30 | $37.15 | $63.10 |
Kaiser Permanente Setting Professional Modifier None Typical Low $67.61 Median $77.62 Typical High $95.50 | Professional | None | $67.61 | $77.62 | $95.50 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $25.12 Typical High $30.20 | Professional | 26 · Professional part | $21.38 | $25.12 | $30.20 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $52.48 Typical High $66.07 | Professional | TC · Technical part | $44.67 | $52.48 | $66.07 |
Moda Health Setting Facility Modifier None Typical Low $41.69 Median $60.26 Typical High $93.33 | Facility | None | $41.69 | $60.26 | $93.33 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $36.31 Median $51.29 Typical High $162.18 | Professional | None (both parts) | $36.31 | $51.29 | $162.18 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $17.38 Typical High $37.15 | Professional | 26 · Professional part | $12.88 | $17.38 | $37.15 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $28.18 Typical High $52.48 | Professional | TC · Technical part | $22.39 | $28.18 | $52.48 |
Pacific Source Setting Facility Modifier None Typical Low $18.20 Median $39.81 Typical High $64.57 | Facility | None | $18.20 | $39.81 | $64.57 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $20.42 Median $20.42 Typical High $39.81 | Professional | None (both parts) | $20.42 | $20.42 | $39.81 |
Providence Setting Facility Modifier None Typical Low $40.74 Median $57.54 Typical High $93.33 | Facility | None | $40.74 | $57.54 | $93.33 |
Providence Setting Professional Modifier None (both parts) Typical Low $45.71 Median $69.18 Typical High $93.33 | Professional | None (both parts) | $45.71 | $69.18 | $93.33 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $24.55 Typical High $32.36 | Professional | 26 · Professional part | $15.14 | $24.55 | $32.36 |
Providence Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $44.67 Typical High $63.10 | Professional | TC · Technical part | $30.90 | $44.67 | $63.10 |
Regence BlueShield Setting Facility Modifier None Typical Low $407.38 Median $549.54 Typical High $630.96 | Facility | None | $407.38 | $549.54 | $630.96 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $58.88 Median $61.66 Typical High $89.13 | Professional | None (both parts) | $58.88 | $61.66 | $89.13 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $20.89 Typical High $30.90 | Professional | 26 · Professional part | $19.95 | $20.89 | $30.90 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $40.74 Typical High $57.54 | Professional | TC · Technical part | $37.15 | $40.74 | $57.54 |
United Setting Facility Modifier None Typical Low $407.38 Median $512.86 Typical High $630.96 | Facility | None | $407.38 | $512.86 | $630.96 |
United Setting Professional Modifier None (both parts) Typical Low $38.02 Median $70.79 Typical High $104.71 | Professional | None (both parts) | $38.02 | $70.79 | $104.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $26.92 Typical High $35.48 | Professional | 26 · Professional part | $14.45 | $26.92 | $35.48 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $43.65 Typical High $67.61 | Professional | TC · Technical part | $23.44 | $43.65 | $67.61 |
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 $15.14 Median $20.89 Typical High $20.89 | Professional | 52 · Reduced service | $15.14 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $8.32 Typical High $8.32 | Professional | 53 · Discontinued | $6.17 | $8.32 | $8.32 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $14.79 Median $20.89 Typical High $20.89 | Professional | 52 · Reduced service | $14.79 | $20.89 | $20.89 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $8.32 Typical High $8.32 | Professional | 53 · Discontinued | $5.89 | $8.32 | $8.32 |
Where Oregon sits
The same service costs 2.7 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· 8th of 51
$58.88
AK $83.18FL $30.90
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.