How much rates vary
Facilitymedian $68 · 10th to 90th $26 to $191Professionalmedian $87 · 10th to 90th $47 to $138
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 $83.18 Median $83.18 Typical High $117.49 | Facility | None | $83.18 | $83.18 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $67.61 Typical High $87.10 | Professional | None (both parts) | $39.81 | $67.61 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $18.62 Typical High $21.38 | Professional | 26 · Professional part | $12.02 | $18.62 | $21.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $48.98 Typical High $66.07 | Professional | TC · Technical part | $28.18 | $48.98 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $346.74 Typical High $398.11 | Facility | None | $229.09 | $346.74 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $83.18 Typical High $147.91 | Professional | None (both parts) | $52.48 | $83.18 | $147.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $23.44 Typical High $40.74 | Professional | 26 · Professional part | $16.22 | $23.44 | $40.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $61.66 Typical High $107.15 | Professional | TC · Technical part | $38.02 | $61.66 | $107.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $93.33 Median $107.15 Typical High $134.90 | Professional | None | $93.33 | $107.15 | $134.90 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $30.20 Typical High $35.48 | Professional | 26 · Professional part | $25.12 | $30.20 | $35.48 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $77.62 Typical High $97.72 | Professional | TC · Technical part | $67.61 | $77.62 | $97.72 |
Moda Health Setting Facility Modifier None Typical Low $72.44 Median $95.50 Typical High $190.55 | Facility | None | $72.44 | $95.50 | $190.55 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $48.98 Median $67.61 Typical High $125.89 | Professional | None (both parts) | $48.98 | $67.61 | $125.89 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $18.62 Typical High $34.67 | Professional | 26 · Professional part | $13.49 | $18.62 | $34.67 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $48.98 Typical High $83.18 | Professional | TC · Technical part | $34.67 | $48.98 | $83.18 |
Pacific Source Setting Facility Modifier None Typical Low $23.44 Median $56.23 Typical High $93.33 | Facility | None | $23.44 | $56.23 | $93.33 |
Providence Setting Facility Modifier None Typical Low $95.50 Median $128.82 Typical High $346.74 | Facility | None | $95.50 | $128.82 | $346.74 |
Providence Setting Professional Modifier None (both parts) Typical Low $70.79 Median $93.33 Typical High $141.25 | Professional | None (both parts) | $70.79 | $93.33 | $141.25 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $26.92 Typical High $38.90 | Professional | 26 · Professional part | $19.05 | $26.92 | $38.90 |
Providence Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $63.10 Typical High $102.33 | Professional | TC · Technical part | $42.66 | $63.10 | $102.33 |
Regence BlueShield Setting Facility Modifier None Typical Low $309.03 Median $389.05 Typical High $501.19 | Facility | None | $309.03 | $389.05 | $501.19 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $81.28 Median $93.33 Typical High $131.83 | Professional | None (both parts) | $81.28 | $93.33 | $131.83 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $26.30 Typical High $37.15 | Professional | 26 · Professional part | $24.55 | $26.30 | $37.15 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $67.61 Typical High $95.50 | Professional | TC · Technical part | $57.54 | $67.61 | $95.50 |
United Setting Facility Modifier None Typical Low $331.13 Median $416.87 Typical High $512.86 | Facility | None | $331.13 | $416.87 | $512.86 |
United Setting Professional Modifier None (both parts) Typical Low $43.65 Median $81.28 Typical High $141.25 | Professional | None (both parts) | $43.65 | $81.28 | $141.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $24.55 Typical High $42.66 | Professional | 26 · Professional part | $14.45 | $24.55 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $56.23 Typical High $100.00 | Professional | TC · Technical part | $30.20 | $56.23 | $100.00 |
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 $21.38 Median $33.88 Typical High $33.88 | Professional | 52 · Reduced service | $21.38 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $13.49 Typical High $13.49 | Professional | 53 · Discontinued | $8.51 | $13.49 | $13.49 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $21.38 Median $33.88 Typical High $33.88 | Professional | 52 · Reduced service | $21.38 | $33.88 | $33.88 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $13.49 Typical High $13.49 | Professional | 53 · Discontinued | $7.94 | $13.49 | $13.49 |
Where Oregon sits
The same service costs 4.1 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
$81.28
AK $132UT $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.