How much rates vary
Facilitymedian $74 · 10th to 90th $20 to $209Professionalmedian $98 · 10th to 90th $52 to $155
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 TC · Technical part Typical Low $229.09 Median $229.09 Typical High $295.12 | Facility | TC · Technical part | $229.09 | $229.09 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $74.13 Typical High $100.00 | Professional | None (both parts) | $43.65 | $74.13 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $15.85 Typical High $18.62 | Professional | 26 · Professional part | $10.72 | $15.85 | $18.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $58.88 Typical High $81.28 | Professional | TC · Technical part | $33.11 | $58.88 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $269.15 Typical High $331.13 | Facility | None | $190.55 | $269.15 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $93.33 Typical High $154.88 | Professional | None (both parts) | $57.54 | $93.33 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $19.95 Typical High $34.67 | Professional | 26 · Professional part | $13.80 | $19.95 | $34.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $74.13 Typical High $128.82 | Professional | TC · Technical part | $45.71 | $74.13 | $128.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $107.15 Median $123.03 Typical High $154.88 | Professional | None | $107.15 | $123.03 | $154.88 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $25.70 Typical High $30.90 | Professional | 26 · Professional part | $21.88 | $25.70 | $30.90 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $97.72 Typical High $123.03 | Professional | TC · Technical part | $83.18 | $97.72 | $123.03 |
Moda Health Setting Facility Modifier None Typical Low $87.10 Median $117.49 Typical High $229.09 | Facility | None | $87.10 | $117.49 | $229.09 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $52.48 Median $74.13 Typical High $154.88 | Professional | None (both parts) | $52.48 | $74.13 | $154.88 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $15.85 Typical High $33.11 | Professional | 26 · Professional part | $11.22 | $15.85 | $33.11 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $58.88 Typical High $107.15 | Professional | TC · Technical part | $38.90 | $58.88 | $107.15 |
Pacific Source Setting Facility Modifier None Typical Low $19.95 Median $67.61 Typical High $104.71 | Facility | None | $19.95 | $67.61 | $104.71 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $22.39 Median $22.39 Typical High $83.18 | Professional | None (both parts) | $22.39 | $22.39 | $83.18 |
Providence Setting Facility Modifier None Typical Low $104.71 Median $141.25 Typical High $269.15 | Facility | None | $104.71 | $141.25 | $269.15 |
Providence Setting Professional Modifier None (both parts) Typical Low $79.43 Median $102.33 Typical High $154.88 | Professional | None (both parts) | $79.43 | $102.33 | $154.88 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $23.99 Typical High $33.88 | Professional | 26 · Professional part | $16.60 | $23.99 | $33.88 |
Providence Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $75.86 Typical High $123.03 | Professional | TC · Technical part | $51.29 | $75.86 | $123.03 |
Regence BlueShield Setting Facility Modifier None Typical Low $208.93 Median $302.00 Typical High $371.54 | Facility | None | $208.93 | $302.00 | $371.54 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $91.20 Median $104.71 Typical High $147.91 | Professional | None (both parts) | $91.20 | $104.71 | $147.91 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $22.39 Typical High $31.62 | Professional | 26 · Professional part | $20.89 | $22.39 | $31.62 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $81.28 Typical High $114.82 | Professional | TC · Technical part | $69.18 | $81.28 | $114.82 |
United Setting Facility Modifier None Typical Low $275.42 Median $346.74 Typical High $426.58 | Facility | None | $275.42 | $346.74 | $426.58 |
United Setting Professional Modifier None (both parts) Typical Low $47.86 Median $89.13 Typical High $154.88 | Professional | None (both parts) | $47.86 | $89.13 | $154.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $21.38 Typical High $37.15 | Professional | 26 · Professional part | $12.59 | $21.38 | $37.15 |
United Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $67.61 Typical High $120.23 | Professional | TC · Technical part | $35.48 | $67.61 | $120.23 |
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 $23.44 Median $37.15 Typical High $37.15 | Professional | 52 · Reduced service | $23.44 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $15.14 Typical High $15.14 | Professional | 53 · Discontinued | $9.33 | $15.14 | $15.14 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $21.88 Median $37.15 Typical High $37.15 | Professional | 52 · Reduced service | $21.88 | $37.15 | $37.15 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $15.14 Typical High $15.14 | Professional | 53 · Discontinued | $8.71 | $15.14 | $15.14 |
Where Oregon sits
The same service costs 4.5 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
$91.20
AK $148UT $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.