How much rates vary
Facilitymedian $59 · 10th to 90th $14 to $178Professionalmedian $76 · 10th to 90th $40 to $117
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 $33.88 Median $53.70 Typical High $53.70 | Professional | None (both parts) | $33.88 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $10.23 Typical High $10.23 | Professional | 26 · Professional part | $6.92 | $10.23 | $10.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $43.65 Typical High $43.65 | Professional | TC · Technical part | $26.92 | $43.65 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $741.31 Typical High $891.25 | Facility | None | $524.81 | $741.31 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $72.44 Typical High $120.23 | Professional | None (both parts) | $43.65 | $72.44 | $120.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $13.80 Typical High $24.55 | Professional | 26 · Professional part | $9.77 | $13.80 | $24.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $58.88 Typical High $100.00 | Professional | TC · Technical part | $34.67 | $58.88 | $100.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $85.11 Median $97.72 Typical High $123.03 | Professional | None | $85.11 | $97.72 | $123.03 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $18.20 Typical High $21.88 | Professional | 26 · Professional part | $15.49 | $18.20 | $21.88 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $79.43 Typical High $102.33 | Professional | TC · Technical part | $69.18 | $79.43 | $102.33 |
Moda Health Setting Facility Modifier None Typical Low $53.70 Median $81.28 Typical High $104.71 | Facility | None | $53.70 | $81.28 | $104.71 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $40.74 Median $57.54 Typical High $107.15 | Professional | None (both parts) | $40.74 | $57.54 | $107.15 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.23 Typical High $21.38 | Professional | 26 · Professional part | $8.32 | $10.23 | $21.38 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $43.65 Typical High $87.10 | Professional | TC · Technical part | $30.20 | $43.65 | $87.10 |
Pacific Source Setting Facility Modifier None Typical Low $13.18 Median $51.29 Typical High $77.62 | Facility | None | $13.18 | $51.29 | $77.62 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $10.72 Median $14.79 Typical High $60.26 | Professional | None (both parts) | $10.72 | $14.79 | $60.26 |
Providence Setting Facility Modifier None Typical Low $79.43 Median $109.65 Typical High $741.31 | Facility | None | $79.43 | $109.65 | $741.31 |
Providence Setting Professional Modifier None (both parts) Typical Low $60.26 Median $79.43 Typical High $120.23 | Professional | None (both parts) | $60.26 | $79.43 | $120.23 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $15.85 Typical High $23.44 | Professional | 26 · Professional part | $11.48 | $15.85 | $23.44 |
Providence Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $61.66 Typical High $95.50 | Professional | TC · Technical part | $40.74 | $61.66 | $95.50 |
Regence BlueShield Setting Facility Modifier None Typical Low $691.83 Median $851.14 Typical High $1,047.13 | Facility | None | $691.83 | $851.14 | $1,047.13 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $72.44 Median $79.43 Typical High $112.20 | Professional | None (both parts) | $72.44 | $79.43 | $112.20 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $15.49 Typical High $22.39 | Professional | 26 · Professional part | $14.45 | $15.49 | $22.39 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $64.57 Typical High $91.20 | Professional | TC · Technical part | $57.54 | $64.57 | $91.20 |
United Setting Facility Modifier None Typical Low $758.58 Median $954.99 Typical High $1,174.90 | Facility | None | $758.58 | $954.99 | $1,174.90 |
United Setting Professional Modifier None (both parts) Typical Low $38.90 Median $67.61 Typical High $117.49 | Professional | None (both parts) | $38.90 | $67.61 | $117.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $13.80 Typical High $23.99 | Professional | 26 · Professional part | $7.94 | $13.80 | $23.99 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $53.70 Typical High $95.50 | Professional | TC · Technical part | $30.20 | $53.70 | $95.50 |
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 $33.88 Median $33.88 Typical High $43.65 | Facility | 53 · Discontinued | $33.88 | $33.88 | $43.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.60 Median $26.92 Typical High $26.92 | Professional | 52 · Reduced service | $16.60 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $10.72 Typical High $10.72 | Professional | 53 · Discontinued | $6.76 | $10.72 | $10.72 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $15.49 Median $26.92 Typical High $26.92 | Professional | 52 · Reduced service | $15.49 | $26.92 | $26.92 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $10.72 Typical High $10.72 | Professional | 53 · Discontinued | $6.31 | $10.72 | $10.72 |
Where Oregon sits
The same service costs 3.6 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
$70.79
AK $115UT $31.62
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.