How much rates vary
Facilitymedian $26 · 10th to 90th $12 to $107Professionalmedian $29 · 10th to 90th $18 to $43
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 $20.89 Median $25.12 Typical High $25.12 | Professional | None (both parts) | $20.89 | $25.12 | $25.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $11.22 Typical High $11.22 | Professional | 26 · Professional part | $8.71 | $11.22 | $11.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $12.59 Median $14.13 Typical High $14.13 | Professional | TC · Technical part | $12.59 | $14.13 | $14.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None (both parts) | $17.78 | $17.78 | $17.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | 26 · Professional part | $7.41 | $7.41 | $7.41 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | TC · Technical part | $10.23 | $10.23 | $10.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $30.90 Median $41.69 Typical High $51.29 | Professional | None | $30.90 | $41.69 | $51.29 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $17.38 Typical High $20.89 | Professional | 26 · Professional part | $12.88 | $17.38 | $20.89 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $23.99 Typical High $30.90 | Professional | TC · Technical part | $17.78 | $23.99 | $30.90 |
Moda Health Setting Facility Modifier None Typical Low $25.12 Median $38.90 Typical High $50.12 | Facility | None | $25.12 | $38.90 | $50.12 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $21.38 Median $25.12 Typical High $39.81 | Professional | None (both parts) | $21.38 | $25.12 | $39.81 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | 26 · Professional part | $11.22 | $11.22 | $11.22 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | TC · Technical part | $14.13 | $14.13 | $14.13 |
Pacific Source Setting Facility Modifier None Typical Low $9.77 Median $16.98 Typical High $36.31 | Facility | None | $9.77 | $16.98 | $36.31 |
Providence Setting Facility Modifier None Typical Low $25.70 Median $38.90 Typical High $50.12 | Facility | None | $25.70 | $38.90 | $50.12 |
Providence Setting Professional Modifier None (both parts) Typical Low $17.78 Median $17.78 Typical High $45.71 | Professional | None (both parts) | $17.78 | $17.78 | $45.71 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.41 Typical High $16.98 | Professional | 26 · Professional part | $7.41 | $7.41 | $16.98 |
Providence Setting Professional Modifier TC · Technical part Typical Low $10.23 Median $10.23 Typical High $23.99 | Professional | TC · Technical part | $10.23 | $10.23 | $23.99 |
Regence BlueShield Setting Facility Modifier None Typical Low $100.00 Median $138.04 Typical High $154.88 | Facility | None | $100.00 | $138.04 | $154.88 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $27.54 Median $28.84 Typical High $30.20 | Professional | None (both parts) | $27.54 | $28.84 | $30.20 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $12.88 Typical High $13.80 | Professional | 26 · Professional part | $12.59 | $12.88 | $13.80 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $15.85 Typical High $16.60 | Professional | TC · Technical part | $15.14 | $15.85 | $16.60 |
United Setting Facility Modifier None Typical Low $117.49 Median $147.91 Typical High $186.21 | Facility | None | $117.49 | $147.91 | $186.21 |
United Setting Professional Modifier None (both parts) Typical Low $26.92 Median $37.15 Typical High $60.26 | Professional | None (both parts) | $26.92 | $37.15 | $60.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $16.98 Typical High $25.70 | Professional | 26 · Professional part | $12.30 | $16.98 | $25.70 |
United Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $20.42 Typical High $37.15 | Professional | TC · Technical part | $14.79 | $20.42 | $37.15 |
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 $10.47 Median $12.59 Typical High $12.59 | Professional | 52 · Reduced service | $10.47 | $12.59 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $5.13 Typical High $5.13 | Professional | 53 · Discontinued | $4.17 | $5.13 | $5.13 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | 52 · Reduced service | $12.59 | $12.59 | $12.59 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | 53 · Discontinued | $5.13 | $5.13 | $5.13 |
Where Oregon sits
The same service costs 2.3 times more in Wisconsin than in North Carolina. 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· 11th of 51
$28.84
WI $39.81NC $17.38
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.