How much rates vary
Facilitymedian $30 · 10th to 90th $2 to $52Professionalmedian $174 · 10th to 90th $141 to $295
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 $117.49 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $117.49 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $35.48 Typical High $35.48 | Professional | 26 · Professional part | $26.30 | $35.48 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $109.65 Typical High $109.65 | Professional | TC · Technical part | $85.11 | $109.65 | $109.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $173.78 Typical High $288.40 | Professional | None (both parts) | $138.04 | $173.78 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $41.69 Typical High $69.18 | Professional | 26 · Professional part | $33.11 | $41.69 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $131.83 Typical High $218.78 | Professional | TC · Technical part | $104.71 | $131.83 | $218.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $177.83 Median $218.78 Typical High $275.42 | Professional | None | $177.83 | $218.78 | $275.42 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $53.70 Typical High $66.07 | Professional | 26 · Professional part | $46.77 | $53.70 | $66.07 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $162.18 Typical High $208.93 | Professional | TC · Technical part | $141.25 | $162.18 | $208.93 |
Moda Health Setting Facility Modifier None Typical Low $57.54 Median $263.03 Typical High $549.54 | Facility | None | $57.54 | $263.03 | $549.54 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $117.49 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $117.49 | $144.54 | $144.54 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $35.48 Typical High $81.28 | Professional | 26 · Professional part | $34.67 | $35.48 | $81.28 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $109.65 Typical High $109.65 | Professional | TC · Technical part | $91.20 | $109.65 | $109.65 |
Pacific Source Setting Facility Modifier None Typical Low $2.40 Median $29.51 Typical High $52.48 | Facility | None | $2.40 | $29.51 | $52.48 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $1.70 Median $4.90 Typical High $51.29 | Professional | None (both parts) | $1.70 | $4.90 | $51.29 |
Providence Setting Facility Modifier None Typical Low $57.54 Median $158.49 Typical High $263.03 | Facility | None | $57.54 | $158.49 | $263.03 |
Providence Setting Professional Modifier None (both parts) Typical Low $151.36 Median $186.21 Typical High $302.00 | Professional | None (both parts) | $151.36 | $186.21 | $302.00 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $48.98 Typical High $74.13 | Professional | 26 · Professional part | $36.31 | $48.98 | $74.13 |
Providence Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $144.54 Typical High $223.87 | Professional | TC · Technical part | $114.82 | $144.54 | $223.87 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $186.21 Median $194.98 Typical High $269.15 | Professional | None (both parts) | $186.21 | $194.98 | $269.15 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $48.98 Typical High $67.61 | Professional | 26 · Professional part | $46.77 | $48.98 | $67.61 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $147.91 Typical High $204.17 | Professional | TC · Technical part | $138.04 | $147.91 | $204.17 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $141.25 Typical High $416.87 | Professional | None (both parts) | $134.90 | $141.25 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $79.43 | Professional | 26 · Professional part | $27.54 | $27.54 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $114.82 Typical High $338.84 | Professional | TC · Technical part | $107.15 | $114.82 | $338.84 |
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 $85.11 Median $85.11 Typical High $109.65 | Facility | 53 · Discontinued | $85.11 | $85.11 | $109.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $54.95 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $21.88 | $28.84 | $28.84 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $63.10 | $72.44 | $72.44 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $25.12 | $28.84 | $28.84 |
Where Oregon sits
The same service costs 4.0 times more in Alaska than in Florida. 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· 19th of 51
$145
AK $302FL $75.86
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.