How much rates vary
Facilitymedian $35 · 10th to 90th $20 to $74Professionalmedian $58 · 10th to 90th $33 to $78
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 $38.90 Median $39.81 Typical High $39.81 | Professional | None (both parts) | $38.90 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $16.22 Typical High $16.22 | Professional | 26 · Professional part | $13.18 | $16.22 | $16.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | TC · Technical part | $23.44 | $23.44 | $23.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $33.88 Typical High $79.43 | Professional | None (both parts) | $32.36 | $33.88 | $79.43 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $13.49 Typical High $30.90 | Professional | 26 · Professional part | $12.30 | $13.49 | $30.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $21.38 Typical High $47.86 | Professional | TC · Technical part | $19.05 | $21.38 | $47.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $63.10 Median $74.13 Typical High $93.33 | Professional | None | $63.10 | $74.13 | $93.33 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $27.54 Typical High $33.88 | Professional | 26 · Professional part | $22.91 | $27.54 | $33.88 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $47.86 Typical High $60.26 | Professional | TC · Technical part | $39.81 | $47.86 | $60.26 |
Moda Health Setting Facility Modifier None Typical Low $39.81 Median $74.13 Typical High $81.28 | Facility | None | $39.81 | $74.13 | $81.28 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $37.15 Median $39.81 Typical High $74.13 | Professional | None (both parts) | $37.15 | $39.81 | $74.13 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $16.22 Typical High $26.30 | Professional | 26 · Professional part | $13.80 | $16.22 | $26.30 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $23.44 Typical High $50.12 | Professional | TC · Technical part | $23.44 | $23.44 | $50.12 |
Pacific Source Setting Facility Modifier None Typical Low $19.95 Median $33.11 Typical High $63.10 | Facility | None | $19.95 | $33.11 | $63.10 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $23.99 Median $23.99 Typical High $34.67 | Professional | None (both parts) | $23.99 | $23.99 | $34.67 |
Providence Setting Facility Modifier None Typical Low $44.67 Median $74.13 Typical High $89.13 | Facility | None | $44.67 | $74.13 | $89.13 |
Providence Setting Professional Modifier None (both parts) Typical Low $33.11 Median $47.86 Typical High $81.28 | Professional | None (both parts) | $33.11 | $47.86 | $81.28 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $17.78 Typical High $32.36 | Professional | 26 · Professional part | $12.30 | $17.78 | $32.36 |
Providence Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $29.51 Typical High $51.29 | Professional | TC · Technical part | $19.05 | $29.51 | $51.29 |
Regence BlueShield Setting Facility Modifier None Typical Low $162.18 Median $213.80 Typical High $245.47 | Facility | None | $162.18 | $213.80 | $245.47 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $58.88 Median $60.26 Typical High $63.10 | Professional | None (both parts) | $58.88 | $60.26 | $63.10 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $23.44 Typical High $24.55 | Professional | 26 · Professional part | $22.91 | $23.44 | $24.55 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $37.15 Typical High $38.90 | Professional | TC · Technical part | $35.48 | $37.15 | $38.90 |
United Setting Facility Modifier None Typical Low $186.21 Median $234.42 Typical High $288.40 | Facility | None | $186.21 | $234.42 | $288.40 |
United Setting Professional Modifier None (both parts) Typical Low $43.65 Median $58.88 Typical High $102.33 | Professional | None (both parts) | $43.65 | $58.88 | $102.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $25.12 Typical High $39.81 | Professional | 26 · Professional part | $18.20 | $25.12 | $39.81 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $34.67 Typical High $63.10 | Professional | TC · Technical part | $25.70 | $34.67 | $63.10 |
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 $19.05 Median $19.95 Typical High $19.95 | Professional | 52 · Reduced service | $19.05 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $7.94 Typical High $7.94 | Professional | 53 · Discontinued | $7.76 | $7.94 | $7.94 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | 52 · Reduced service | $19.95 | $19.95 | $19.95 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | 53 · Discontinued | $7.94 | $7.94 | $7.94 |
Where Oregon sits
The same service costs 2.6 times more in Minnesota than in Alabama. 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· 13th of 51
$54.95
MN $74.13AL $28.18
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.