How much rates vary
Facilitymedian $17 · 10th to 90th $13 to $43Professionalmedian $30 · 10th to 90th $17 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 $19.50 Median $21.38 Typical High $21.38 | Professional | None (both parts) | $19.50 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $10.72 Typical High $10.72 | Professional | 26 · Professional part | $9.12 | $10.72 | $10.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $9.77 Median $10.47 Typical High $10.47 | Professional | TC · Technical part | $9.77 | $10.47 | $10.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $16.98 Median $18.20 Typical High $40.74 | Professional | None (both parts) | $16.98 | $18.20 | $40.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.91 Typical High $19.05 | Professional | 26 · Professional part | $7.94 | $8.91 | $19.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $8.71 Median $9.12 Typical High $19.05 | Professional | TC · Technical part | $8.71 | $9.12 | $19.05 |
Kaiser Permanente Setting Professional Modifier None Typical Low $32.36 Median $38.02 Typical High $47.86 | Professional | None | $32.36 | $38.02 | $47.86 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $18.62 Typical High $22.91 | Professional | 26 · Professional part | $15.49 | $18.62 | $22.91 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $19.95 Typical High $25.12 | Professional | TC · Technical part | $16.60 | $19.95 | $25.12 |
Moda Health Setting Facility Modifier None Typical Low $21.38 Median $30.20 Typical High $42.66 | Facility | None | $21.38 | $30.20 | $42.66 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $19.05 Median $21.38 Typical High $34.67 | Professional | None (both parts) | $19.05 | $21.38 | $34.67 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | 26 · Professional part | $10.72 | $10.72 | $10.72 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | TC · Technical part | $10.47 | $10.47 | $10.47 |
Pacific Source Setting Facility Modifier None Typical Low $11.22 Median $16.22 Typical High $32.36 | Facility | None | $11.22 | $16.22 | $32.36 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $8.91 Median $12.59 Typical High $20.42 | Professional | None (both parts) | $8.91 | $12.59 | $20.42 |
Providence Setting Facility Modifier None Typical Low $22.91 Median $32.36 Typical High $42.66 | Facility | None | $22.91 | $32.36 | $42.66 |
Providence Setting Professional Modifier None (both parts) Typical Low $16.98 Median $25.12 Typical High $44.67 | Professional | None (both parts) | $16.98 | $25.12 | $44.67 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $10.47 Typical High $20.42 | Professional | 26 · Professional part | $7.94 | $10.47 | $20.42 |
Providence Setting Professional Modifier TC · Technical part Typical Low $8.71 Median $10.47 Typical High $20.89 | Professional | TC · Technical part | $8.71 | $10.47 | $20.89 |
Regence BlueShield Setting Facility Modifier None Typical Low $69.18 Median $97.72 Typical High $117.49 | Facility | None | $69.18 | $97.72 | $117.49 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $29.51 Median $30.90 Typical High $32.36 | Professional | None (both parts) | $29.51 | $30.90 | $32.36 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $15.14 Typical High $16.22 | Professional | 26 · Professional part | $14.79 | $15.14 | $16.22 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $15.14 Typical High $16.22 | Professional | TC · Technical part | $14.79 | $15.14 | $16.22 |
United Setting Facility Modifier None Typical Low $91.20 Median $114.82 Typical High $141.25 | Facility | None | $91.20 | $114.82 | $141.25 |
United Setting Professional Modifier None (both parts) Typical Low $23.44 Median $32.36 Typical High $52.48 | Professional | None (both parts) | $23.44 | $32.36 | $52.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $16.60 Typical High $26.30 | Professional | 26 · Professional part | $12.30 | $16.60 | $26.30 |
United Setting Professional Modifier TC · Technical part Typical Low $11.48 Median $15.49 Typical High $25.70 | Professional | TC · Technical part | $11.48 | $15.49 | $25.70 |
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 $9.77 Median $10.72 Typical High $10.72 | Professional | 52 · Reduced service | $9.77 | $10.72 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $4.27 Typical High $4.27 | Professional | 53 · Discontinued | $3.89 | $4.27 | $4.27 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | 52 · Reduced service | $10.72 | $10.72 | $10.72 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $4.27 Typical High $4.27 | Professional | 53 · Discontinued | $4.27 | $4.27 | $4.27 |
Where Oregon sits
The same service costs 2.7 times more in Minnesota 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
$29.51
MN $38.02FL $14.13
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.