How much rates vary
Facilitymedian $65 · 10th to 90th $20 to $234Professionalmedian $83 · 10th to 90th $45 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 $75.86 Median $75.86 Typical High $107.15 | Facility | None | $75.86 | $75.86 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $61.66 Typical High $81.28 | Professional | None (both parts) | $40.74 | $61.66 | $81.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $16.22 Typical High $18.20 | Professional | 26 · Professional part | $9.55 | $16.22 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $45.71 Typical High $63.10 | Professional | TC · Technical part | $30.90 | $45.71 | $63.10 |
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 $81.28 Typical High $138.04 | Professional | None (both parts) | $52.48 | $81.28 | $138.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $19.95 Typical High $35.48 | Professional | 26 · Professional part | $12.88 | $19.95 | $35.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $61.66 Typical High $102.33 | Professional | TC · Technical part | $39.81 | $61.66 | $102.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $87.10 Median $102.33 Typical High $125.89 | Professional | None | $87.10 | $102.33 | $125.89 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $26.30 Typical High $30.90 | Professional | 26 · Professional part | $21.88 | $26.30 | $30.90 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $75.86 Typical High $95.50 | Professional | TC · Technical part | $64.57 | $75.86 | $95.50 |
Moda Health Setting Facility Modifier None Typical Low $69.18 Median $95.50 Typical High $245.47 | Facility | None | $69.18 | $95.50 | $245.47 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $44.67 Median $61.66 Typical High $117.49 | Professional | None (both parts) | $44.67 | $61.66 | $117.49 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $16.22 Typical High $30.90 | Professional | 26 · Professional part | $10.00 | $16.22 | $30.90 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $45.71 Typical High $87.10 | Professional | TC · Technical part | $35.48 | $45.71 | $87.10 |
Pacific Source Setting Facility Modifier None Typical Low $19.05 Median $54.95 Typical High $89.13 | Facility | None | $19.05 | $54.95 | $89.13 |
Providence Setting Facility Modifier None Typical Low $91.20 Median $120.23 Typical High $346.74 | Facility | None | $91.20 | $120.23 | $346.74 |
Providence Setting Professional Modifier None (both parts) Typical Low $67.61 Median $89.13 Typical High $131.83 | Professional | None (both parts) | $67.61 | $89.13 | $131.83 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $21.88 Typical High $33.88 | Professional | 26 · Professional part | $16.22 | $21.88 | $33.88 |
Providence Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $64.57 Typical High $97.72 | Professional | TC · Technical part | $45.71 | $64.57 | $97.72 |
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 $79.43 Median $87.10 Typical High $123.03 | Professional | None (both parts) | $79.43 | $87.10 | $123.03 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $22.91 Typical High $32.36 | Professional | 26 · Professional part | $19.50 | $22.91 | $32.36 |
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 $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 $42.66 Median $74.13 Typical High $131.83 | Professional | None (both parts) | $42.66 | $74.13 | $131.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $21.38 Typical High $38.02 | Professional | 26 · Professional part | $11.22 | $21.38 | $38.02 |
United Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $53.70 Typical High $95.50 | Professional | TC · Technical part | $30.90 | $53.70 | $95.50 |
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 $19.50 Median $30.90 Typical High $30.90 | Professional | 52 · Reduced service | $19.50 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $12.30 Typical High $12.30 | Professional | 53 · Discontinued | $7.76 | $12.30 | $12.30 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $18.20 Median $30.90 Typical High $30.90 | Professional | 52 · Reduced service | $18.20 | $30.90 | $30.90 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $12.30 Typical High $12.30 | Professional | 53 · Discontinued | $7.24 | $12.30 | $12.30 |
Where Oregon sits
The same service costs 3.9 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· 8th of 51
$77.62
AK $129UT $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.