How much rates vary
Facilitymedian $89 · 10th to 90th $62 to $174Professionalmedian $166 · 10th to 90th $110 to $251
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 $87.10 Median $109.65 Typical High $173.78 | Professional | None (both parts) | $87.10 | $109.65 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $58.88 Typical High $74.13 | Professional | 26 · Professional part | $40.74 | $58.88 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $51.29 Typical High $95.50 | Professional | TC · Technical part | $46.77 | $51.29 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $112.20 Typical High $660.69 | Facility | None | $89.13 | $112.20 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $158.49 Typical High $245.47 | Professional | None (both parts) | $123.03 | $158.49 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $81.28 Typical High $125.89 | Professional | 26 · Professional part | $63.10 | $81.28 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $83.18 Typical High $123.03 | Professional | TC · Technical part | $61.66 | $83.18 | $123.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $194.98 Median $223.87 Typical High $281.84 | Professional | None | $194.98 | $223.87 | $281.84 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $102.33 Typical High $125.89 | Professional | 26 · Professional part | $89.13 | $102.33 | $125.89 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $120.23 Typical High $154.88 | Professional | TC · Technical part | $104.71 | $120.23 | $154.88 |
Moda Health Setting Facility Modifier None Typical Low $109.65 Median $190.55 Typical High $234.42 | Facility | None | $109.65 | $190.55 | $234.42 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $95.50 Median $141.25 Typical High $239.88 | Professional | None (both parts) | $95.50 | $141.25 | $239.88 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $58.88 Typical High $134.90 | Professional | 26 · Professional part | $41.69 | $58.88 | $134.90 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $56.23 Typical High $109.65 | Professional | TC · Technical part | $47.86 | $56.23 | $109.65 |
Pacific Source Setting Facility Modifier None Typical Low $54.95 Median $85.11 Typical High $169.82 | Facility | None | $54.95 | $85.11 | $169.82 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $64.57 Median $79.43 Typical High $85.11 | Professional | None (both parts) | $64.57 | $79.43 | $85.11 |
Providence Setting Facility Modifier None Typical Low $91.20 Median $131.83 Typical High $707.95 | Facility | None | $91.20 | $131.83 | $707.95 |
Providence Setting Professional Modifier None (both parts) Typical Low $128.82 Median $177.83 Typical High $251.19 | Professional | None (both parts) | $128.82 | $177.83 | $251.19 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $89.13 Typical High $134.90 | Professional | 26 · Professional part | $63.10 | $89.13 | $134.90 |
Providence Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $83.18 Typical High $123.03 | Professional | TC · Technical part | $58.88 | $83.18 | $123.03 |
Regence BlueShield Setting Facility Modifier None Typical Low $812.83 Median $1,047.13 Typical High $1,202.26 | Facility | None | $812.83 | $1,047.13 | $1,202.26 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $165.96 Median $173.78 Typical High $257.04 | Professional | None (both parts) | $165.96 | $173.78 | $257.04 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $91.20 Typical High $134.90 | Professional | 26 · Professional part | $87.10 | $91.20 | $134.90 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $81.28 Typical High $120.23 | Professional | TC · Technical part | $77.62 | $81.28 | $120.23 |
United Setting Facility Modifier None Typical Low $151.36 Median $295.12 Typical High $4,897.79 | Facility | None | $151.36 | $295.12 | $4,897.79 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $177.83 Typical High $302.00 | Professional | None (both parts) | $120.23 | $177.83 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $97.72 Typical High $158.49 | Professional | 26 · Professional part | $67.61 | $97.72 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $81.28 Typical High $144.54 | Professional | TC · Technical part | $52.48 | $81.28 | $144.54 |
8 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 $54.95 Median $54.95 Typical High $54.95 | Professional | 52 · Reduced service | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | 53 · Discontinued | $21.88 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | 55 · Aftercare only | $16.60 | $16.60 | $16.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | 56 · Pre-op care only | $10.96 | $10.96 | $10.96 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | 52 · Reduced service | $54.95 | $54.95 | $54.95 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | 53 · Discontinued | $21.88 | $21.88 | $21.88 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | 55 · Aftercare only | $16.60 | $16.60 | $16.60 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | 56 · Pre-op care only | $10.96 | $10.96 | $10.96 |
Where Oregon sits
The same service costs 5.9 times more in Alaska than in Alabama. 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· 33rd of 51
$110
AK $331AL $56.23
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.