How much rates vary
Facilitymedian $37 · 10th to 90th $13 to $83Professionalmedian $48 · 10th to 90th $32 to $74
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 $36.31 Median $44.67 Typical High $57.54 | Facility | None | $36.31 | $44.67 | $57.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $36.31 Typical High $46.77 | Professional | None (both parts) | $28.18 | $36.31 | $46.77 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $9.33 Typical High $11.75 | Professional | 26 · Professional part | $7.41 | $9.33 | $11.75 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $26.92 Typical High $35.48 | Professional | TC · Technical part | $20.89 | $26.92 | $35.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $43.65 Typical High $75.86 | Professional | None (both parts) | $34.67 | $43.65 | $75.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $11.48 Typical High $19.95 | Professional | 26 · Professional part | $9.33 | $11.48 | $19.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $31.62 Typical High $54.95 | Professional | TC · Technical part | $25.70 | $31.62 | $54.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $48.98 Median $58.88 Typical High $72.44 | Professional | None | $48.98 | $58.88 | $72.44 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $16.60 Typical High $19.95 | Professional | 26 · Professional part | $14.13 | $16.60 | $19.95 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $41.69 Typical High $52.48 | Professional | TC · Technical part | $35.48 | $41.69 | $52.48 |
Moda Health Setting Facility Modifier None Typical Low $51.29 Median $234.42 Typical High $380.19 | Facility | None | $51.29 | $234.42 | $380.19 |
Moda Health Setting Facility Modifier 26 · Professional part Typical Low $11.48 Median $83.18 Typical High $85.11 | Facility | 26 · Professional part | $11.48 | $83.18 | $85.11 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $33.11 Median $309.03 Typical High $426.58 | Facility | TC · Technical part | $33.11 | $309.03 | $426.58 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $29.51 Median $43.65 Typical High $131.83 | Professional | None (both parts) | $29.51 | $43.65 | $131.83 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $10.72 Typical High $31.62 | Professional | 26 · Professional part | $7.24 | $10.72 | $31.62 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $26.92 Typical High $48.98 | Professional | TC · Technical part | $21.38 | $26.92 | $48.98 |
Pacific Source Setting Facility Modifier None Typical Low $11.48 Median $34.67 Typical High $51.29 | Facility | None | $11.48 | $34.67 | $51.29 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $10.47 Median $10.47 Typical High $28.18 | Professional | None (both parts) | $10.47 | $10.47 | $28.18 |
Providence Setting Facility Modifier None Typical Low $34.67 Median $63.10 Typical High $66.07 | Facility | None | $34.67 | $63.10 | $66.07 |
Providence Setting Professional Modifier None (both parts) Typical Low $37.15 Median $51.29 Typical High $74.13 | Professional | None (both parts) | $37.15 | $51.29 | $74.13 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $13.49 Typical High $20.42 | Professional | 26 · Professional part | $10.00 | $13.49 | $20.42 |
Providence Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $36.31 Typical High $52.48 | Professional | TC · Technical part | $27.54 | $36.31 | $52.48 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $47.86 Median $50.12 Typical High $69.18 | Professional | None (both parts) | $47.86 | $50.12 | $69.18 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $14.13 Typical High $19.05 | Professional | 26 · Professional part | $13.49 | $14.13 | $19.05 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $36.31 Typical High $48.98 | Professional | TC · Technical part | $34.67 | $36.31 | $48.98 |
United Setting Professional Modifier None (both parts) Typical Low $26.92 Median $48.98 Typical High $79.43 | Professional | None (both parts) | $26.92 | $48.98 | $79.43 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $13.18 Typical High $21.88 | Professional | 26 · Professional part | $7.59 | $13.18 | $21.88 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $36.31 Typical High $57.54 | Professional | TC · Technical part | $19.50 | $36.31 | $57.54 |
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 $13.49 Median $17.78 Typical High $17.78 | Professional | 52 · Reduced service | $13.49 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $7.24 Typical High $7.24 | Professional | 53 · Discontinued | $5.37 | $7.24 | $7.24 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $14.45 Median $17.78 Typical High $17.78 | Professional | 52 · Reduced service | $14.45 | $17.78 | $17.78 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $7.24 Typical High $7.24 | Professional | 53 · Discontinued | $5.75 | $7.24 | $7.24 |
Where Oregon sits
The same service costs 2.7 times more in Minnesota than in Maryland. 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
$46.77
MN $69.18MD $25.70
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.