How much rates vary
Facilitymedian $49 · 10th to 90th $15 to $457Professionalmedian $52 · 10th to 90th $32 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 Facility Modifier None Typical Low $41.69 Median $56.23 Typical High $63.10 | Facility | None | $41.69 | $56.23 | $63.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $38.90 Typical High $52.48 | Professional | None (both parts) | $33.88 | $38.90 | $52.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.47 Typical High $12.88 | Professional | 26 · Professional part | $8.32 | $10.47 | $12.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $28.18 Typical High $38.02 | Professional | TC · Technical part | $25.12 | $28.18 | $38.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $41.69 Typical High $75.86 | Professional | None (both parts) | $28.84 | $41.69 | $75.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $11.48 Typical High $20.89 | Professional | 26 · Professional part | $7.94 | $11.48 | $20.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $30.20 Typical High $54.95 | Professional | TC · Technical part | $20.42 | $30.20 | $54.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $56.23 Median $66.07 Typical High $85.11 | Professional | None | $56.23 | $66.07 | $85.11 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $18.20 Typical High $22.91 | Professional | 26 · Professional part | $15.49 | $18.20 | $22.91 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $46.77 Typical High $61.66 | Professional | TC · Technical part | $40.74 | $46.77 | $61.66 |
Moda Health Setting Facility Modifier None Typical Low $56.23 Median $295.12 Typical High $707.95 | Facility | None | $56.23 | $295.12 | $707.95 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $33.11 Median $44.67 Typical High $81.28 | Professional | None (both parts) | $33.11 | $44.67 | $81.28 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $10.47 Typical High $23.44 | Professional | 26 · Professional part | $8.71 | $10.47 | $23.44 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $28.18 Typical High $48.98 | Professional | TC · Technical part | $23.99 | $28.18 | $48.98 |
Pacific Source Setting Facility Modifier None Typical Low $13.80 Median $38.90 Typical High $66.07 | Facility | None | $13.80 | $38.90 | $66.07 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $8.91 Median $11.22 Typical High $36.31 | Professional | None (both parts) | $8.91 | $11.22 | $36.31 |
Providence Setting Facility Modifier None Typical Low $35.48 Median $75.86 Typical High $95.50 | Facility | None | $35.48 | $75.86 | $95.50 |
Providence Setting Professional Modifier None (both parts) Typical Low $29.51 Median $50.12 Typical High $79.43 | Professional | None (both parts) | $29.51 | $50.12 | $79.43 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $11.48 Typical High $23.44 | Professional | 26 · Professional part | $8.32 | $11.48 | $23.44 |
Providence Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $33.11 Typical High $56.23 | Professional | TC · Technical part | $21.38 | $33.11 | $56.23 |
Regence BlueShield Setting Facility Modifier None Typical Low $407.38 Median $549.54 Typical High $630.96 | Facility | None | $407.38 | $549.54 | $630.96 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $50.12 Median $52.48 Typical High $54.95 | Professional | None (both parts) | $50.12 | $52.48 | $54.95 |
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 $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 $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 $45.71 Median $63.10 Typical High $89.13 | Professional | None (both parts) | $45.71 | $63.10 | $89.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $15.14 Typical High $24.55 | Professional | 26 · Professional part | $11.75 | $15.14 | $24.55 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $47.86 Typical High $64.57 | Professional | TC · Technical part | $34.67 | $47.86 | $64.57 |
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 $17.78 Median $19.05 Typical High $19.05 | Professional | 52 · Reduced service | $17.78 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.76 Typical High $7.76 | Professional | 53 · Discontinued | $7.08 | $7.76 | $7.76 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | 52 · Reduced service | $19.05 | $19.05 | $19.05 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | 53 · Discontinued | $7.76 | $7.76 | $7.76 |
Moda Health Setting Professional Modifier 59 · Distinct service Typical Low $21.38 Median $77.62 Typical High $83.18 | Professional | 59 · Distinct service | $21.38 | $77.62 | $83.18 |
Where Oregon sits
The same service costs 2.5 times more in Minnesota than in Texas. 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
$51.29
MN $67.61TX $26.92
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.