How much rates vary
Facilitymedian $39 · 10th to 90th $5 to $129Professionalmedian $46 · 10th to 90th $34 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 $34.67 Median $41.69 Typical High $53.70 | Facility | None | $34.67 | $41.69 | $53.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $33.88 Typical High $47.86 | Professional | None (both parts) | $27.54 | $33.88 | $47.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $3.39 Median $4.07 Typical High $5.50 | Professional | 26 · Professional part | $3.39 | $4.07 | $5.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $30.20 Typical High $43.65 | Professional | TC · Technical part | $23.99 | $30.20 | $43.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $40.74 Typical High $79.43 | Professional | None (both parts) | $33.11 | $40.74 | $79.43 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $4.27 Median $5.13 Typical High $9.12 | Professional | 26 · Professional part | $4.27 | $5.13 | $9.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $36.31 Typical High $70.79 | Professional | TC · Technical part | $28.84 | $36.31 | $70.79 |
Kaiser Permanente Setting Professional Modifier None Typical Low $45.71 Median $54.95 Typical High $69.18 | Professional | None | $45.71 | $54.95 | $69.18 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $7.76 Typical High $9.12 | Professional | 26 · Professional part | $6.46 | $7.76 | $9.12 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $46.77 Typical High $58.88 | Professional | TC · Technical part | $39.81 | $46.77 | $58.88 |
Moda Health Setting Facility Modifier None Typical Low $48.98 Median $501.19 Typical High $851.14 | Facility | None | $48.98 | $501.19 | $851.14 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $37.15 Median $891.25 Typical High $1,174.90 | Facility | TC · Technical part | $37.15 | $891.25 | $1,174.90 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $28.84 Median $41.69 Typical High $107.15 | Professional | None (both parts) | $28.84 | $41.69 | $107.15 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $3.24 Median $5.01 Typical High $14.13 | Professional | 26 · Professional part | $3.24 | $5.01 | $14.13 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $34.67 Typical High $56.23 | Professional | TC · Technical part | $24.55 | $34.67 | $56.23 |
Pacific Source Setting Facility Modifier None Typical Low $5.13 Median $37.15 Typical High $50.12 | Facility | None | $5.13 | $37.15 | $50.12 |
Providence Setting Facility Modifier None Typical Low $32.36 Median $53.70 Typical High $77.62 | Facility | None | $32.36 | $53.70 | $77.62 |
Providence Setting Professional Modifier None (both parts) Typical Low $34.67 Median $47.86 Typical High $72.44 | Professional | None (both parts) | $34.67 | $47.86 | $72.44 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $4.37 Median $6.31 Typical High $8.91 | Professional | 26 · Professional part | $4.37 | $6.31 | $8.91 |
Providence Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $40.74 Typical High $66.07 | Professional | TC · Technical part | $30.20 | $40.74 | $66.07 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $44.67 Median $46.77 Typical High $63.10 | Professional | None (both parts) | $44.67 | $46.77 | $63.10 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $6.03 Typical High $8.32 | Professional | 26 · Professional part | $5.75 | $6.03 | $8.32 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $40.74 Typical High $54.95 | Professional | TC · Technical part | $38.90 | $40.74 | $54.95 |
United Setting Professional Modifier None (both parts) Typical Low $25.12 Median $46.77 Typical High $77.62 | Professional | None (both parts) | $25.12 | $46.77 | $77.62 |
United Setting Professional Modifier 26 · Professional part Typical Low $3.24 Median $5.89 Typical High $9.55 | Professional | 26 · Professional part | $3.24 | $5.89 | $9.55 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $40.74 Typical High $67.61 | Professional | TC · Technical part | $21.88 | $40.74 | $67.61 |
5 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 $12.30 Median $16.98 Typical High $16.98 | Professional | 52 · Reduced service | $12.30 | $16.98 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $6.76 Typical High $6.76 | Professional | 53 · Discontinued | $4.90 | $6.76 | $6.76 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $13.49 Median $16.98 Typical High $16.98 | Professional | 52 · Reduced service | $13.49 | $16.98 | $16.98 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $6.76 Typical High $6.76 | Professional | 53 · Discontinued | $5.37 | $6.76 | $6.76 |
Moda Health Setting Professional Modifier 59 · Distinct service Typical Low $9.12 Median $20.42 Typical High $173.78 | Professional | 59 · Distinct service | $9.12 | $20.42 | $173.78 |
Where Oregon sits
The same service costs 2.9 times more in Kansas 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· 18th of 51
$44.67
KS $74.13MD $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.