How much rates vary
Facilitymedian $78 · 10th to 90th $28 to $324Professionalmedian $115 · 10th to 90th $58 to $182
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 $83.18 Typical High $83.18 | Professional | None (both parts) | $50.12 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $23.44 Typical High $23.44 | Professional | 26 · Professional part | $15.49 | $23.44 | $23.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $60.26 Typical High $60.26 | Professional | TC · Technical part | $33.11 | $60.26 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $1,698.24 Typical High $2,041.74 | Facility | None | $1,174.90 | $1,698.24 | $2,041.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $104.71 Typical High $190.55 | Professional | None (both parts) | $60.26 | $104.71 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $30.20 Typical High $52.48 | Professional | 26 · Professional part | $20.42 | $30.20 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $77.62 Typical High $138.04 | Professional | TC · Technical part | $42.66 | $77.62 | $138.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $123.03 Median $141.25 Typical High $173.78 | Professional | None | $123.03 | $141.25 | $173.78 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.02 Typical High $45.71 | Professional | 26 · Professional part | $32.36 | $38.02 | $45.71 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $102.33 Typical High $128.82 | Professional | TC · Technical part | $89.13 | $102.33 | $128.82 |
Moda Health Setting Facility Modifier None Typical Low $83.18 Median $120.23 Typical High $162.18 | Facility | None | $83.18 | $120.23 | $162.18 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $60.26 Median $83.18 Typical High $162.18 | Professional | None (both parts) | $60.26 | $83.18 | $162.18 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $23.44 Typical High $47.86 | Professional | 26 · Professional part | $19.05 | $23.44 | $47.86 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $60.26 Typical High $117.49 | Professional | TC · Technical part | $43.65 | $60.26 | $117.49 |
Pacific Source Setting Facility Modifier None Typical Low $28.18 Median $69.18 Typical High $117.49 | Facility | None | $28.18 | $69.18 | $117.49 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $47.86 Median $47.86 Typical High $125.89 | Professional | None (both parts) | $47.86 | $47.86 | $125.89 |
Providence Setting Facility Modifier None Typical Low $100.00 Median $165.96 Typical High $1,698.24 | Facility | None | $100.00 | $165.96 | $1,698.24 |
Providence Setting Professional Modifier None (both parts) Typical Low $85.11 Median $117.49 Typical High $181.97 | Professional | None (both parts) | $85.11 | $117.49 | $181.97 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $33.11 Typical High $50.12 | Professional | 26 · Professional part | $24.55 | $33.11 | $50.12 |
Providence Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $77.62 Typical High $131.83 | Professional | TC · Technical part | $48.98 | $77.62 | $131.83 |
Regence BlueShield Setting Facility Modifier None Typical Low $776.25 Median $1,737.80 Typical High $2,187.76 | Facility | None | $776.25 | $1,737.80 | $2,187.76 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $102.33 Median $120.23 Typical High $169.82 | Professional | None (both parts) | $102.33 | $120.23 | $169.82 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $33.11 Typical High $46.77 | Professional | 26 · Professional part | $30.90 | $33.11 | $46.77 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $89.13 Typical High $123.03 | Professional | TC · Technical part | $70.79 | $89.13 | $123.03 |
United Setting Facility Modifier None Typical Low $1,737.80 Median $2,187.76 Typical High $2,691.53 | Facility | None | $1,737.80 | $2,187.76 | $2,691.53 |
United Setting Professional Modifier None (both parts) Typical Low $51.29 Median $95.50 Typical High $177.83 | Professional | None (both parts) | $51.29 | $95.50 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $30.90 Typical High $53.70 | Professional | 26 · Professional part | $17.78 | $30.90 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $66.07 Typical High $128.82 | Professional | TC · Technical part | $34.67 | $66.07 | $128.82 |
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 Facility Modifier 53 · Discontinued Typical Low $46.77 Median $46.77 Typical High $60.26 | Facility | 53 · Discontinued | $46.77 | $46.77 | $60.26 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.12 Median $41.69 Typical High $41.69 | Professional | 52 · Reduced service | $25.12 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $16.60 Typical High $16.60 | Professional | 53 · Discontinued | $10.00 | $16.60 | $16.60 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $25.12 Median $41.69 Typical High $41.69 | Professional | 52 · Reduced service | $25.12 | $41.69 | $41.69 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $16.60 Typical High $16.60 | Professional | 53 · Discontinued | $10.00 | $16.60 | $16.60 |
Where Oregon sits
The same service costs 5.6 times more in Alaska 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
$102
AK $182UT $32.36
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.