How much rates vary
Facilitymedian $26 · 10th to 90th $6 to $74Professionalmedian $27 · 10th to 90th $11 to $42
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 $19.05 Median $21.38 Typical High $21.88 | Professional | None (both parts) | $19.05 | $21.38 | $21.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $16.98 Typical High $16.98 | Professional | 26 · Professional part | $12.59 | $16.98 | $16.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $4.17 Median $4.37 Typical High $4.68 | Professional | TC · Technical part | $4.17 | $4.37 | $4.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $11.48 Median $11.48 Typical High $42.66 | Professional | None (both parts) | $11.48 | $11.48 | $42.66 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $10.23 Typical High $30.20 | Professional | 26 · Professional part | $10.23 | $10.23 | $30.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1.12 Median $1.12 Typical High $9.77 | Professional | TC · Technical part | $1.12 | $1.12 | $9.77 |
Kaiser Permanente Setting Professional Modifier None Typical Low $17.38 Median $35.48 Typical High $44.67 | Professional | None | $17.38 | $35.48 | $44.67 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $27.54 Typical High $34.67 | Professional | 26 · Professional part | $13.49 | $27.54 | $34.67 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $3.98 Median $7.76 Typical High $10.47 | Professional | TC · Technical part | $3.98 | $7.76 | $10.47 |
Moda Health Setting Facility Modifier None Typical Low $21.38 Median $36.31 Typical High $74.13 | Facility | None | $21.38 | $36.31 | $74.13 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $18.62 Median $21.38 Typical High $30.20 | Professional | None (both parts) | $18.62 | $21.38 | $30.20 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $16.98 Typical High $21.38 | Professional | 26 · Professional part | $14.45 | $16.98 | $21.38 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $4.07 Median $4.37 Typical High $9.55 | Professional | TC · Technical part | $4.07 | $4.37 | $9.55 |
Pacific Source Setting Facility Modifier None Typical Low $6.03 Median $23.99 Typical High $35.48 | Facility | None | $6.03 | $23.99 | $35.48 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $3.09 Median $7.94 Typical High $28.18 | Professional | None (both parts) | $3.09 | $7.94 | $28.18 |
Providence Setting Facility Modifier None Typical Low $19.50 Median $36.31 Typical High $79.43 | Facility | None | $19.50 | $36.31 | $79.43 |
Providence Setting Professional Modifier None (both parts) Typical Low $11.48 Median $32.36 Typical High $72.44 | Professional | None (both parts) | $11.48 | $32.36 | $72.44 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $15.85 Typical High $30.90 | Professional | 26 · Professional part | $10.23 | $15.85 | $30.90 |
Providence Setting Professional Modifier TC · Technical part Typical Low $1.12 Median $3.98 Typical High $50.12 | Professional | TC · Technical part | $1.12 | $3.98 | $50.12 |
Regence BlueShield Setting Facility Modifier None Typical Low $426.58 Median $851.14 Typical High $1,230.27 | Facility | None | $426.58 | $851.14 | $1,230.27 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $31.62 Median $31.62 Typical High $33.88 | Professional | None (both parts) | $31.62 | $31.62 | $33.88 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $26.30 | Professional | 26 · Professional part | $24.55 | $24.55 | $26.30 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $7.08 Median $7.08 Typical High $7.41 | Professional | TC · Technical part | $7.08 | $7.08 | $7.41 |
United Setting Facility Modifier None Typical Low $691.83 Median $851.14 Typical High $1,071.52 | Facility | None | $691.83 | $851.14 | $1,071.52 |
United Setting Professional Modifier None (both parts) Typical Low $18.20 Median $25.12 Typical High $43.65 | Professional | None (both parts) | $18.20 | $25.12 | $43.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $20.42 Typical High $30.90 | Professional | 26 · Professional part | $14.45 | $20.42 | $30.90 |
United Setting Professional Modifier TC · Technical part Typical Low $2.75 Median $4.90 Typical High $10.47 | Professional | TC · Technical part | $2.75 | $4.90 | $10.47 |
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 $9.55 Median $10.72 Typical High $10.96 | Professional | 52 · Reduced service | $9.55 | $10.72 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $4.27 Typical High $4.37 | Professional | 53 · Discontinued | $3.80 | $4.27 | $4.37 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $10.72 Median $10.72 Typical High $10.96 | Professional | 52 · Reduced service | $10.72 | $10.72 | $10.96 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $4.27 Typical High $4.37 | Professional | 53 · Discontinued | $4.27 | $4.27 | $4.37 |
Where Oregon sits
The same service costs 2.6 times more in California than in New York. 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
$26.30
CA $38.02NY $14.45
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.