How much rates vary
Facilitymedian $98 · 10th to 90th $58 to $105Professionalmedian $85 · 10th to 90th $56 to $112
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 $50.12 Median $56.23 Typical High $56.23 | Professional | None (both parts) | $50.12 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $27.54 Typical High $27.54 | Professional | 26 · Professional part | $23.99 | $27.54 | $27.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $28.84 Typical High $28.84 | Professional | TC · Technical part | $26.30 | $28.84 | $28.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $61.66 Typical High $67.61 | Professional | None (both parts) | $61.66 | $61.66 | $67.61 |
Kaiser Permanente Setting Professional Modifier None Typical Low $102.33 Median $117.49 Typical High $147.91 | Professional | None | $102.33 | $117.49 | $147.91 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $57.54 Typical High $70.79 | Professional | 26 · Professional part | $48.98 | $57.54 | $70.79 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $61.66 Typical High $77.62 | Professional | TC · Technical part | $51.29 | $61.66 | $77.62 |
Moda Health Setting Facility Modifier None Typical Low $56.23 Median $81.28 Typical High $102.33 | Facility | None | $56.23 | $81.28 | $102.33 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | None (both parts) | $56.23 | $56.23 | $56.23 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | 26 · Professional part | $27.54 | $27.54 | $27.54 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | TC · Technical part | $28.84 | $28.84 | $28.84 |
Pacific Source Setting Facility Modifier None Typical Low $61.66 Median $97.72 Typical High $104.71 | Facility | None | $61.66 | $97.72 | $104.71 |
Providence Setting Facility Modifier None Typical Low $56.23 Median $81.28 Typical High $102.33 | Facility | None | $56.23 | $81.28 | $102.33 |
Providence Setting Professional Modifier None (both parts) Typical Low $97.72 Median $107.15 Typical High $107.15 | Professional | None (both parts) | $97.72 | $107.15 | $107.15 |
Regence BlueShield Setting Facility Modifier None Typical Low $57.54 Median $97.72 Typical High $107.15 | Facility | None | $57.54 | $97.72 | $107.15 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $83.18 Median $85.11 Typical High $89.13 | Professional | None (both parts) | $83.18 | $85.11 | $89.13 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $41.69 Typical High $43.65 | Professional | 26 · Professional part | $40.74 | $41.69 | $43.65 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $43.65 Typical High $45.71 | Professional | TC · Technical part | $42.66 | $43.65 | $45.71 |
United Setting Facility Modifier None Typical Low $91.20 Median $114.82 Typical High $141.25 | Facility | None | $91.20 | $114.82 | $141.25 |
United Setting Professional Modifier None (both parts) Typical Low $61.66 Median $85.11 Typical High $154.88 | Professional | None (both parts) | $61.66 | $85.11 | $154.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $41.69 Typical High $74.13 | Professional | 26 · Professional part | $30.20 | $41.69 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $43.65 Typical High $77.62 | Professional | TC · Technical part | $31.62 | $43.65 | $77.62 |
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 $25.12 Median $28.18 Typical High $28.18 | Professional | 52 · Reduced service | $25.12 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $11.22 Typical High $11.22 | Professional | 53 · Discontinued | $10.00 | $11.22 | $11.22 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | 52 · Reduced service | $28.18 | $28.18 | $28.18 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | 53 · Discontinued | $11.22 | $11.22 | $11.22 |
Where Oregon sits
The same service costs 4.2 times more in Nebraska than in Arkansas. 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· 2nd of 51
$85.11
NE $105AR $25.12
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.