How much rates vary
Facilitymedian $120 · 10th to 90th $65 to $234Professionalmedian $219 · 10th to 90th $166 to $347
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 $125.89 Median $165.96 Typical High $165.96 | Professional | None (both parts) | $125.89 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $57.54 Typical High $57.54 | Professional | 26 · Professional part | $42.66 | $57.54 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $107.15 Typical High $107.15 | Professional | TC · Technical part | $85.11 | $107.15 | $107.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $190.55 Typical High $331.13 | Professional | None (both parts) | $151.36 | $190.55 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $63.10 Typical High $112.20 | Professional | 26 · Professional part | $52.48 | $63.10 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $125.89 Typical High $218.78 | Professional | TC · Technical part | $100.00 | $125.89 | $218.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $194.98 Median $239.88 Typical High $295.12 | Professional | None | $194.98 | $239.88 | $295.12 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $81.28 Typical High $100.00 | Professional | 26 · Professional part | $72.44 | $81.28 | $100.00 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $154.88 Typical High $199.53 | Professional | TC · Technical part | $134.90 | $154.88 | $199.53 |
Moda Health Setting Facility Modifier None Typical Low $95.50 Median $181.97 Typical High $295.12 | Facility | None | $95.50 | $181.97 | $295.12 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $141.25 Median $165.96 Typical High $165.96 | Professional | None (both parts) | $141.25 | $165.96 | $165.96 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $102.33 | Professional | 26 · Professional part | $57.54 | $57.54 | $102.33 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $107.15 Typical High $107.15 | Professional | TC · Technical part | $95.50 | $107.15 | $107.15 |
Pacific Source Setting Facility Modifier None Typical Low $64.57 Median $120.23 Typical High $218.78 | Facility | None | $64.57 | $120.23 | $218.78 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $67.61 Median $85.11 Typical High $141.25 | Professional | None (both parts) | $67.61 | $85.11 | $141.25 |
Providence Setting Facility Modifier None Typical Low $95.50 Median $173.78 Typical High $295.12 | Facility | None | $95.50 | $173.78 | $295.12 |
Providence Setting Professional Modifier None (both parts) Typical Low $165.96 Median $208.93 Typical High $338.84 | Professional | None (both parts) | $165.96 | $208.93 | $338.84 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $79.43 Typical High $120.23 | Professional | 26 · Professional part | $56.23 | $79.43 | $120.23 |
Providence Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $138.04 Typical High $223.87 | Professional | TC · Technical part | $112.20 | $138.04 | $223.87 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $218.78 Median $229.09 Typical High $309.03 | Professional | None (both parts) | $218.78 | $229.09 | $309.03 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $79.43 Typical High $107.15 | Professional | 26 · Professional part | $75.86 | $79.43 | $107.15 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $147.91 Typical High $199.53 | Professional | TC · Technical part | $141.25 | $147.91 | $199.53 |
United Setting Professional Modifier None (both parts) Typical Low $275.42 Median $281.84 Typical High $758.58 | Professional | None (both parts) | $275.42 | $281.84 | $758.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $125.89 | Professional | 26 · Professional part | $44.67 | $44.67 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $234.42 Typical High $645.65 | Professional | TC · Technical part | $229.09 | $234.42 | $645.65 |
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 $83.18 Median $83.18 Typical High $107.15 | Facility | 53 · Discontinued | $83.18 | $83.18 | $107.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $83.18 Typical High $83.18 | Professional | 52 · Reduced service | $63.10 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $33.11 Typical High $33.11 | Professional | 53 · Discontinued | $25.12 | $33.11 | $33.11 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $83.18 Typical High $83.18 | Professional | 52 · Reduced service | $70.79 | $83.18 | $83.18 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $33.11 Typical High $33.11 | Professional | 53 · Discontinued | $28.18 | $33.11 | $33.11 |
Where Oregon sits
The same service costs 5.2 times more in North Dakota 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· 21st of 51
$191
ND $457FL $87.10
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.