How much rates vary
Facilitymedian $123 · 10th to 90th $27 to $389Professionalmedian $158 · 10th to 90th $83 to $245
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 $72.44 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $72.44 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $20.89 Typical High $20.89 | Professional | 26 · Professional part | $13.49 | $20.89 | $20.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $102.33 Typical High $102.33 | Professional | TC · Technical part | $56.23 | $102.33 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $562.34 Typical High $660.69 | Facility | None | $380.19 | $562.34 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $147.91 Typical High $263.03 | Professional | None (both parts) | $83.18 | $147.91 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $26.92 Typical High $45.71 | Professional | 26 · Professional part | $18.62 | $26.92 | $45.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $120.23 Typical High $213.80 | Professional | TC · Technical part | $64.57 | $120.23 | $213.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $162.18 Median $190.55 Typical High $234.42 | Professional | None | $162.18 | $190.55 | $234.42 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $33.11 Typical High $39.81 | Professional | 26 · Professional part | $28.18 | $33.11 | $39.81 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $158.49 Typical High $194.98 | Professional | TC · Technical part | $131.83 | $158.49 | $194.98 |
Moda Health Setting Facility Modifier None Typical Low $123.03 Median $169.82 Typical High $194.98 | Facility | None | $123.03 | $169.82 | $194.98 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $83.18 Median $123.03 Typical High $223.87 | Professional | None (both parts) | $83.18 | $123.03 | $223.87 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $20.89 Typical High $40.74 | Professional | 26 · Professional part | $16.98 | $20.89 | $40.74 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $102.33 Typical High $186.21 | Professional | TC · Technical part | $58.88 | $102.33 | $186.21 |
Pacific Source Setting Facility Modifier None Typical Low $25.70 Median $104.71 Typical High $165.96 | Facility | None | $25.70 | $104.71 | $165.96 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $22.39 Median $26.92 Typical High $112.20 | Professional | None (both parts) | $22.39 | $26.92 | $112.20 |
Providence Setting Facility Modifier None Typical Low $147.91 Median $229.09 Typical High $562.34 | Facility | None | $147.91 | $229.09 | $562.34 |
Providence Setting Professional Modifier None (both parts) Typical Low $117.49 Median $165.96 Typical High $251.19 | Professional | None (both parts) | $117.49 | $165.96 | $251.19 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $30.90 Typical High $44.67 | Professional | 26 · Professional part | $21.88 | $30.90 | $44.67 |
Providence Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $120.23 Typical High $204.17 | Professional | TC · Technical part | $79.43 | $120.23 | $204.17 |
Regence BlueShield Setting Facility Modifier None Typical Low $524.81 Median $741.31 Typical High $851.14 | Facility | None | $524.81 | $741.31 | $851.14 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $138.04 Median $165.96 Typical High $239.88 | Professional | None (both parts) | $138.04 | $165.96 | $239.88 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $29.51 Typical High $42.66 | Professional | 26 · Professional part | $27.54 | $29.51 | $42.66 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $138.04 Typical High $199.53 | Professional | TC · Technical part | $112.20 | $138.04 | $199.53 |
United Setting Facility Modifier None Typical Low $562.34 Median $691.83 Typical High $870.96 | Facility | None | $562.34 | $691.83 | $870.96 |
United Setting Professional Modifier None (both parts) Typical Low $70.79 Median $138.04 Typical High $251.19 | Professional | None (both parts) | $70.79 | $138.04 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $27.54 Typical High $48.98 | Professional | 26 · Professional part | $16.22 | $27.54 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $112.20 Typical High $208.93 | Professional | TC · Technical part | $53.70 | $112.20 | $208.93 |
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 $79.43 Median $79.43 Typical High $102.33 | Facility | 53 · Discontinued | $79.43 | $79.43 | $102.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $36.31 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $14.45 | $24.55 | $24.55 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $36.31 | $61.66 | $61.66 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $14.45 | $24.55 | $24.55 |
Where Oregon sits
The same service costs 4.3 times more in Alaska than in Kentucky. 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· 9th of 51
$145
AK $251KY $58.88
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.