How much rates vary
Facilitymedian $52 · 10th to 90th $26 to $776Professionalmedian $78 · 10th to 90th $52 to $120
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 TC · Technical part Typical Low $141.25 Median $141.25 Typical High $181.97 | Facility | TC · Technical part | $141.25 | $141.25 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $56.23 Typical High $75.86 | Professional | None (both parts) | $47.86 | $56.23 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $20.42 Typical High $23.99 | Professional | 26 · Professional part | $13.49 | $20.42 | $23.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $36.31 Typical High $52.48 | Professional | TC · Technical part | $31.62 | $36.31 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $1,174.90 Typical High $1,318.26 | Facility | None | $776.25 | $1,174.90 | $1,318.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $77.62 Typical High $131.83 | Professional | None (both parts) | $60.26 | $77.62 | $131.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $26.30 Typical High $45.71 | Professional | 26 · Professional part | $18.20 | $26.30 | $45.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $50.12 Typical High $87.10 | Professional | TC · Technical part | $38.90 | $50.12 | $87.10 |
Kaiser Permanente Setting Professional Modifier None Typical Low $83.18 Median $95.50 Typical High $117.49 | Professional | None | $83.18 | $95.50 | $117.49 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $34.67 Typical High $40.74 | Professional | 26 · Professional part | $28.84 | $34.67 | $40.74 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $61.66 Typical High $77.62 | Professional | TC · Technical part | $53.70 | $61.66 | $77.62 |
Moda Health Setting Facility Modifier None Typical Low $81.28 Median $112.20 Typical High $512.86 | Facility | None | $81.28 | $112.20 | $512.86 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $54.95 Median $67.61 Typical High $109.65 | Professional | None (both parts) | $54.95 | $67.61 | $109.65 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $20.42 Typical High $44.67 | Professional | 26 · Professional part | $14.45 | $20.42 | $44.67 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $46.77 Typical High $75.86 | Professional | TC · Technical part | $36.31 | $46.77 | $75.86 |
Pacific Source Setting Facility Modifier None Typical Low $24.55 Median $45.71 Typical High $83.18 | Facility | None | $24.55 | $45.71 | $83.18 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $20.89 Median $20.89 Typical High $29.51 | Professional | None (both parts) | $20.89 | $20.89 | $29.51 |
Providence Setting Facility Modifier None Typical Low $87.10 Median $120.23 Typical High $1,174.90 | Facility | None | $87.10 | $120.23 | $1,174.90 |
Providence Setting Professional Modifier None (both parts) Typical Low $61.66 Median $85.11 Typical High $125.89 | Professional | None (both parts) | $61.66 | $85.11 | $125.89 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $30.20 Typical High $43.65 | Professional | 26 · Professional part | $21.38 | $30.20 | $43.65 |
Providence Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $54.95 Typical High $89.13 | Professional | TC · Technical part | $39.81 | $54.95 | $89.13 |
Regence BlueShield Setting Facility Modifier None Typical Low $851.14 Median $1,258.93 Typical High $1,698.24 | Facility | None | $851.14 | $1,258.93 | $1,698.24 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $74.13 Median $81.28 Typical High $114.82 | Professional | None (both parts) | $74.13 | $81.28 | $114.82 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $29.51 Typical High $41.69 | Professional | 26 · Professional part | $26.92 | $29.51 | $41.69 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $51.29 Typical High $72.44 | Professional | TC · Technical part | $45.71 | $51.29 | $72.44 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,380.38 Typical High $1,737.80 | Facility | None | $1,096.48 | $1,380.38 | $1,737.80 |
United Setting Professional Modifier None (both parts) Typical Low $40.74 Median $75.86 Typical High $134.90 | Professional | None (both parts) | $40.74 | $75.86 | $134.90 |
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 $24.55 Median $48.98 Typical High $91.20 | Professional | TC · Technical part | $24.55 | $48.98 | $91.20 |
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 $17.78 Median $28.18 Typical High $28.18 | Professional | 52 · Reduced service | $17.78 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $11.22 Typical High $11.22 | Professional | 53 · Discontinued | $7.08 | $11.22 | $11.22 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $16.60 Median $28.18 Typical High $28.18 | Professional | 52 · Reduced service | $16.60 | $28.18 | $28.18 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $11.22 Typical High $11.22 | Professional | 53 · Discontinued | $6.61 | $11.22 | $11.22 |
Where Oregon sits
The same service costs 3.8 times more in Alaska than in New York. 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
$75.86
AK $115NY $30.20
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.