How much rates vary
Facilitymedian $98 · 10th to 90th $29 to $347Professionalmedian $115 · 10th to 90th $68 to $178
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 $107.15 Median $144.54 Typical High $147.91 | Facility | None | $107.15 | $144.54 | $147.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $87.10 Typical High $144.54 | Professional | None (both parts) | $67.61 | $87.10 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $19.95 Typical High $33.88 | Professional | 26 · Professional part | $15.14 | $19.95 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $66.07 Typical High $109.65 | Professional | TC · Technical part | $51.29 | $66.07 | $109.65 |
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 $79.43 Median $112.20 Typical High $190.55 | Professional | None (both parts) | $79.43 | $112.20 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $26.30 Typical High $44.67 | Professional | 26 · Professional part | $19.95 | $26.30 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $87.10 Typical High $144.54 | Professional | TC · Technical part | $60.26 | $87.10 | $144.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $123.03 Median $141.25 Typical High $177.83 | Professional | None | $123.03 | $141.25 | $177.83 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $32.36 Typical High $38.90 | Professional | 26 · Professional part | $27.54 | $32.36 | $38.90 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $109.65 Typical High $138.04 | Professional | TC · Technical part | $95.50 | $109.65 | $138.04 |
Moda Health Setting Facility Modifier None Typical Low $97.72 Median $151.36 Typical High $537.03 | Facility | None | $97.72 | $151.36 | $537.03 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $81.28 Median $331.13 Typical High $398.11 | Facility | TC · Technical part | $81.28 | $331.13 | $398.11 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $67.61 Median $102.33 Typical High $181.97 | Professional | None (both parts) | $67.61 | $102.33 | $181.97 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $20.89 Typical High $41.69 | Professional | 26 · Professional part | $16.22 | $20.89 | $41.69 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $67.61 Typical High $123.03 | Professional | TC · Technical part | $51.29 | $67.61 | $123.03 |
Pacific Source Setting Facility Modifier None Typical Low $25.12 Median $83.18 Typical High $120.23 | Facility | None | $25.12 | $83.18 | $120.23 |
Providence Setting Facility Modifier None Typical Low $128.82 Median $177.83 Typical High $346.74 | Facility | None | $128.82 | $177.83 | $346.74 |
Providence Setting Professional Modifier None (both parts) Typical Low $93.33 Median $128.82 Typical High $181.97 | Professional | None (both parts) | $93.33 | $128.82 | $181.97 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $31.62 Typical High $43.65 | Professional | 26 · Professional part | $21.38 | $31.62 | $43.65 |
Providence Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $95.50 Typical High $138.04 | Professional | TC · Technical part | $69.18 | $95.50 | $138.04 |
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 $114.82 Median $120.23 Typical High $169.82 | Professional | None (both parts) | $114.82 | $120.23 | $169.82 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $28.18 Typical High $40.74 | Professional | 26 · Professional part | $26.92 | $28.18 | $40.74 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $91.20 Typical High $128.82 | Professional | TC · Technical part | $85.11 | $91.20 | $128.82 |
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 $60.26 Median $102.33 Typical High $181.97 | Professional | None (both parts) | $60.26 | $102.33 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $26.30 Typical High $46.77 | Professional | 26 · Professional part | $15.49 | $26.30 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $77.62 Typical High $138.04 | Professional | TC · Technical part | $44.67 | $77.62 | $138.04 |
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 $27.54 Median $43.65 Typical High $43.65 | Professional | 52 · Reduced service | $27.54 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $17.38 Typical High $17.38 | Professional | 53 · Discontinued | $10.96 | $17.38 | $17.38 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $27.54 Median $43.65 Typical High $43.65 | Professional | 52 · Reduced service | $27.54 | $43.65 | $43.65 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $17.38 Typical High $17.38 | Professional | 53 · Discontinued | $10.23 | $17.38 | $17.38 |
Where Oregon sits
The same service costs 3.6 times more in Alaska than in Texas. 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
$112
AK $182TX $50.12
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.