How much rates vary
Facilitymedian $87 · 10th to 90th $45 to $162Professionalmedian $162 · 10th to 90th $117 to $309
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 $302.00 Median $302.00 Typical High $380.19 | Facility | TC · Technical part | $302.00 | $302.00 | $380.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $117.49 Typical High $117.49 | Professional | None (both parts) | $75.86 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $39.81 Typical High $39.81 | Professional | 26 · Professional part | $26.30 | $39.81 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $77.62 Typical High $77.62 | Professional | TC · Technical part | $48.98 | $77.62 | $77.62 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $151.36 Typical High $251.19 | Professional | None (both parts) | $104.71 | $151.36 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $50.12 Typical High $87.10 | Professional | 26 · Professional part | $34.67 | $50.12 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $100.00 Typical High $162.18 | Professional | TC · Technical part | $69.18 | $100.00 | $162.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $158.49 Median $181.97 Typical High $223.87 | Professional | None | $158.49 | $181.97 | $223.87 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $64.57 Typical High $75.86 | Professional | 26 · Professional part | $53.70 | $64.57 | $75.86 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $117.49 Typical High $151.36 | Professional | TC · Technical part | $102.33 | $117.49 | $151.36 |
Moda Health Setting Facility Modifier None Typical Low $64.57 Median $117.49 Typical High $213.80 | Facility | None | $64.57 | $117.49 | $213.80 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $75.86 Median $117.49 Typical High $117.49 | Professional | None (both parts) | $75.86 | $117.49 | $117.49 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $39.81 Typical High $75.86 | Professional | 26 · Professional part | $27.54 | $39.81 | $75.86 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $77.62 Typical High $77.62 | Professional | TC · Technical part | $46.77 | $77.62 | $77.62 |
Pacific Source Setting Facility Modifier None Typical Low $44.67 Median $87.10 Typical High $162.18 | Facility | None | $44.67 | $87.10 | $162.18 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $104.71 | Professional | None (both parts) | $50.12 | $50.12 | $104.71 |
Providence Setting Facility Modifier None Typical Low $64.57 Median $114.82 Typical High $213.80 | Facility | None | $64.57 | $114.82 | $213.80 |
Providence Setting Professional Modifier None (both parts) Typical Low $120.23 Median $169.82 Typical High $251.19 | Professional | None (both parts) | $120.23 | $169.82 | $251.19 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $60.26 Typical High $85.11 | Professional | 26 · Professional part | $41.69 | $60.26 | $85.11 |
Providence Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $114.82 Typical High $162.18 | Professional | TC · Technical part | $81.28 | $114.82 | $162.18 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $151.36 Median $162.18 Typical High $229.09 | Professional | None (both parts) | $151.36 | $162.18 | $229.09 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $56.23 Typical High $79.43 | Professional | 26 · Professional part | $53.70 | $56.23 | $79.43 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $104.71 Typical High $147.91 | Professional | TC · Technical part | $100.00 | $104.71 | $147.91 |
United Setting Professional Modifier None (both parts) Typical Low $162.18 Median $288.40 Typical High $537.03 | Professional | None (both parts) | $162.18 | $288.40 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $53.70 Typical High $93.33 | Professional | 26 · Professional part | $30.90 | $53.70 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $234.42 Typical High $457.09 | Professional | TC · Technical part | $128.82 | $234.42 | $457.09 |
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 $36.31 Median $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $36.31 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $23.44 Typical High $23.44 | Professional | 53 · Discontinued | $14.45 | $23.44 | $23.44 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $33.88 | $58.88 | $58.88 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $23.44 Typical High $23.44 | Professional | 53 · Discontinued | $13.49 | $23.44 | $23.44 |
Where Oregon sits
The same service costs 4.4 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· 24th of 51
$151
AK $331TX $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.