How much rates vary
Facilitymedian $59 · 10th to 90th $26 to $229Professionalmedian $83 · 10th to 90th $47 to $129
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 $77.62 Median $77.62 Typical High $107.15 | Facility | None | $77.62 | $77.62 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $63.10 Typical High $81.28 | Professional | None (both parts) | $42.66 | $63.10 | $81.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $18.62 Typical High $22.39 | Professional | 26 · Professional part | $13.49 | $18.62 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $43.65 Typical High $60.26 | Professional | TC · Technical part | $28.18 | $43.65 | $60.26 |
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 $54.95 Median $83.18 Typical High $138.04 | Professional | None (both parts) | $54.95 | $83.18 | $138.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $23.99 Typical High $40.74 | Professional | 26 · Professional part | $18.20 | $23.99 | $40.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $56.23 Typical High $95.50 | Professional | TC · Technical part | $37.15 | $56.23 | $95.50 |
Kaiser Permanente Setting Professional Modifier None Typical Low $87.10 Median $100.00 Typical High $125.89 | Professional | None | $87.10 | $100.00 | $125.89 |
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 $61.66 Median $70.79 Typical High $89.13 | Professional | TC · Technical part | $61.66 | $70.79 | $89.13 |
Moda Health Setting Facility Modifier None Typical Low $67.61 Median $77.62 Typical High $128.82 | Facility | None | $67.61 | $77.62 | $128.82 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $46.77 Median $63.10 Typical High $114.82 | Professional | None (both parts) | $46.77 | $63.10 | $114.82 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $18.62 Typical High $41.69 | Professional | 26 · Professional part | $14.45 | $18.62 | $41.69 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $43.65 Typical High $75.86 | Professional | TC · Technical part | $31.62 | $43.65 | $75.86 |
Pacific Source Setting Facility Modifier None Typical Low $23.99 Median $51.29 Typical High $89.13 | Facility | None | $23.99 | $51.29 | $89.13 |
Providence Setting Facility Modifier None Typical Low $91.20 Median $128.82 Typical High $346.74 | Facility | None | $91.20 | $128.82 | $346.74 |
Providence Setting Professional Modifier None (both parts) Typical Low $67.61 Median $91.20 Typical High $131.83 | Professional | None (both parts) | $67.61 | $91.20 | $131.83 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $31.62 Typical High $40.74 | Professional | 26 · Professional part | $19.50 | $31.62 | $40.74 |
Providence Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $60.26 Typical High $93.33 | Professional | TC · Technical part | $41.69 | $60.26 | $93.33 |
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 $83.18 Median $87.10 Typical High $123.03 | Professional | None (both parts) | $83.18 | $87.10 | $123.03 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $26.30 Typical High $38.90 | Professional | 26 · Professional part | $24.55 | $26.30 | $38.90 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $61.66 Typical High $87.10 | Professional | TC · Technical part | $56.23 | $61.66 | $87.10 |
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 $44.67 Median $75.86 Typical High $134.90 | Professional | None (both parts) | $44.67 | $75.86 | $134.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $25.12 Typical High $44.67 | Professional | 26 · Professional part | $14.79 | $25.12 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $52.48 Typical High $91.20 | Professional | TC · Technical part | $30.20 | $52.48 | $91.20 |
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 $19.95 Median $31.62 Typical High $31.62 | Professional | 52 · Reduced service | $19.95 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $12.59 Typical High $12.59 | Professional | 53 · Discontinued | $7.94 | $12.59 | $12.59 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $18.62 Median $31.62 Typical High $31.62 | Professional | 52 · Reduced service | $18.62 | $31.62 | $31.62 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $12.59 Typical High $12.59 | Professional | 53 · Discontinued | $7.41 | $12.59 | $12.59 |
Where Oregon sits
The same service costs 4.0 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
$79.43
AK $132UT $33.11
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.