How much rates vary
Facilitymedian $78 · 10th to 90th $20 to $851Professionalmedian $74 · 10th to 90th $50 to $115
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 $60.26 Median $85.11 Typical High $102.33 | Facility | None | $60.26 | $85.11 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $60.26 Typical High $81.28 | Professional | None (both parts) | $51.29 | $60.26 | $81.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $13.18 Typical High $16.98 | Professional | 26 · Professional part | $12.02 | $13.18 | $16.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $47.86 Typical High $64.57 | Professional | TC · Technical part | $38.90 | $47.86 | $64.57 |
Cigna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $58.88 Typical High $112.20 | Professional | None (both parts) | $40.74 | $58.88 | $112.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $14.45 Typical High $27.54 | Professional | 26 · Professional part | $10.00 | $14.45 | $27.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $44.67 Typical High $85.11 | Professional | TC · Technical part | $30.90 | $44.67 | $85.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $83.18 Median $95.50 Typical High $125.89 | Professional | None | $83.18 | $95.50 | $125.89 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $22.39 Typical High $28.18 | Professional | 26 · Professional part | $19.05 | $22.39 | $28.18 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $72.44 Typical High $95.50 | Professional | TC · Technical part | $63.10 | $72.44 | $95.50 |
Moda Health Setting Facility Modifier None Typical Low $87.10 Median $489.78 Typical High $1,122.02 | Facility | None | $87.10 | $489.78 | $1,122.02 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $47.86 Median $95.50 Typical High $812.83 | Facility | TC · Technical part | $47.86 | $95.50 | $812.83 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $48.98 Median $69.18 Typical High $120.23 | Professional | None (both parts) | $48.98 | $69.18 | $120.23 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $15.85 Typical High $33.88 | Professional | 26 · Professional part | $11.48 | $15.85 | $33.88 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $47.86 Typical High $79.43 | Professional | TC · Technical part | $37.15 | $47.86 | $79.43 |
Pacific Source Setting Facility Modifier None Typical Low $19.50 Median $58.88 Typical High $107.15 | Facility | None | $19.50 | $58.88 | $107.15 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $19.95 Median $24.55 Typical High $87.10 | Professional | None (both parts) | $19.95 | $24.55 | $87.10 |
Providence Setting Facility Modifier None Typical Low $52.48 Median $131.83 Typical High $162.18 | Facility | None | $52.48 | $131.83 | $162.18 |
Providence Setting Professional Modifier None (both parts) Typical Low $42.66 Median $74.13 Typical High $117.49 | Professional | None (both parts) | $42.66 | $74.13 | $117.49 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $16.60 Typical High $29.51 | Professional | 26 · Professional part | $10.23 | $16.60 | $29.51 |
Providence Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $54.95 Typical High $93.33 | Professional | TC · Technical part | $32.36 | $54.95 | $93.33 |
Regence BlueShield Setting Facility Modifier None Typical Low $758.58 Median $1,071.52 Typical High $1,230.27 | Facility | None | $758.58 | $1,071.52 | $1,230.27 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $72.44 Median $74.13 Typical High $77.62 | Professional | None (both parts) | $72.44 | $74.13 | $77.62 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $19.05 Typical High $19.95 | Professional | 26 · Professional part | $18.62 | $19.05 | $19.95 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $54.95 Typical High $58.88 | Professional | TC · Technical part | $53.70 | $54.95 | $58.88 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,479.11 Typical High $1,819.70 | Facility | None | $1,174.90 | $1,479.11 | $1,819.70 |
United Setting Professional Modifier None (both parts) Typical Low $75.86 Median $104.71 Typical High $134.90 | Professional | None (both parts) | $75.86 | $104.71 | $134.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $23.44 Typical High $32.36 | Professional | 26 · Professional part | $17.78 | $23.44 | $32.36 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $79.43 Typical High $100.00 | Professional | TC · Technical part | $58.88 | $79.43 | $100.00 |
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 $26.92 Median $30.20 Typical High $30.20 | Professional | 52 · Reduced service | $26.92 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $12.02 Typical High $12.02 | Professional | 53 · Discontinued | $10.72 | $12.02 | $12.02 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | 52 · Reduced service | $30.20 | $30.20 | $30.20 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | 53 · Discontinued | $12.02 | $12.02 | $12.02 |
Moda Health Setting Professional Modifier 59 · Distinct service Typical Low $66.07 Median $114.82 Typical High $120.23 | Professional | 59 · Distinct service | $66.07 | $114.82 | $120.23 |
Where Oregon sits
The same service costs 3.3 times more in Minnesota than in Utah. 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· 10th of 51
$74.13
MN $105UT $31.62
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.