How much rates vary
Facilitymedian $51 · 10th to 90th $1 to $692Professionalmedian $200 · 10th to 90th $123 to $417
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 $190.55 Median $331.13 Typical High $331.13 | Professional | None (both parts) | $190.55 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $40.74 Typical High $40.74 | Professional | 26 · Professional part | $26.30 | $40.74 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $323.59 Typical High $323.59 | Professional | TC · Technical part | $186.21 | $323.59 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $741.31 Typical High $891.25 | Facility | None | $524.81 | $741.31 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $151.36 Typical High $245.47 | Professional | None (both parts) | $102.33 | $151.36 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $51.29 Typical High $89.13 | Professional | 26 · Professional part | $35.48 | $51.29 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $97.72 Typical High $158.49 | Professional | TC · Technical part | $66.07 | $97.72 | $158.49 |
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 $54.95 Median $66.07 Typical High $77.62 | Professional | 26 · Professional part | $54.95 | $66.07 | $77.62 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $114.82 Typical High $147.91 | Professional | TC · Technical part | $100.00 | $114.82 | $147.91 |
Moda Health Setting Facility Modifier None Typical Low $66.07 Median $208.93 Typical High $478.63 | Facility | None | $66.07 | $208.93 | $478.63 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $154.88 Median $331.13 Typical High $331.13 | Professional | None (both parts) | $154.88 | $331.13 | $331.13 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $40.74 Typical High $77.62 | Professional | 26 · Professional part | $33.11 | $40.74 | $77.62 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $323.59 Typical High $323.59 | Professional | TC · Technical part | $154.88 | $323.59 | $323.59 |
Pacific Source Setting Facility Modifier None Typical Low $1.41 Median $31.62 Typical High $60.26 | Facility | None | $1.41 | $31.62 | $60.26 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $1.41 Median $1.41 Typical High $56.23 | Professional | None (both parts) | $1.41 | $1.41 | $56.23 |
Providence Setting Facility Modifier None Typical Low $66.07 Median $371.54 Typical High $741.31 | Facility | None | $66.07 | $371.54 | $741.31 |
Providence Setting Professional Modifier None (both parts) Typical Low $114.82 Median $165.96 Typical High $245.47 | Professional | None (both parts) | $114.82 | $165.96 | $245.47 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $60.26 Typical High $87.10 | Professional | 26 · Professional part | $42.66 | $60.26 | $87.10 |
Providence Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $107.15 Typical High $158.49 | Professional | TC · Technical part | $79.43 | $107.15 | $158.49 |
Regence BlueShield Setting Facility Modifier None Typical Low $389.05 Median $851.14 Typical High $1,047.13 | Facility | None | $389.05 | $851.14 | $1,047.13 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $151.36 Median $158.49 Typical High $223.87 | Professional | None (both parts) | $151.36 | $158.49 | $223.87 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $56.23 Typical High $81.28 | Professional | 26 · Professional part | $53.70 | $56.23 | $81.28 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $102.33 Typical High $144.54 | Professional | TC · Technical part | $95.50 | $102.33 | $144.54 |
United Setting Facility Modifier None Typical Low $758.58 Median $954.99 Typical High $1,174.90 | Facility | None | $758.58 | $954.99 | $1,174.90 |
United Setting Professional Modifier None (both parts) Typical Low $194.98 Median $416.87 Typical High $794.33 | Professional | None (both parts) | $194.98 | $416.87 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $53.70 Typical High $93.33 | Professional | 26 · Professional part | $31.62 | $53.70 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $389.05 Typical High $707.95 | Professional | TC · Technical part | $186.21 | $389.05 | $707.95 |
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 52 · Reduced service Typical Low $616.60 Median $616.60 Typical High $794.33 | Facility | 52 · Reduced service | $616.60 | $616.60 | $794.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $95.50 Median $165.96 Typical High $165.96 | Professional | 52 · Reduced service | $95.50 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $66.07 Typical High $66.07 | Professional | 53 · Discontinued | $38.90 | $66.07 | $66.07 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $95.50 Median $165.96 Typical High $165.96 | Professional | 52 · Reduced service | $95.50 | $165.96 | $165.96 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $66.07 Typical High $66.07 | Professional | 53 · Discontinued | $38.90 | $66.07 | $66.07 |
Where Oregon sits
The same service costs 5.9 times more in Nebraska than in Hawaii. 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· 35th of 51
$158
NE $389HI $66.07
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.