How much rates vary
Facilitymedian $81 · 10th to 90th $35 to $234Professionalmedian $93 · 10th to 90th $58 to $158
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 None Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $67.61 Typical High $100.00 | Professional | None (both parts) | $51.29 | $67.61 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $41.69 Typical High $53.70 | Professional | 26 · Professional part | $31.62 | $41.69 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $25.70 Typical High $45.71 | Professional | TC · Technical part | $19.95 | $25.70 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $346.74 Typical High $398.11 | Facility | None | $229.09 | $346.74 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $89.13 Typical High $165.96 | Professional | None (both parts) | $70.79 | $89.13 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $53.70 Typical High $100.00 | Professional | 26 · Professional part | $43.65 | $53.70 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $33.88 Typical High $64.57 | Professional | TC · Technical part | $27.54 | $33.88 | $64.57 |
Kaiser Permanente Setting Professional Modifier None Typical Low $93.33 Median $112.20 Typical High $138.04 | Professional | None | $93.33 | $112.20 | $138.04 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $69.18 Typical High $83.18 | Professional | 26 · Professional part | $58.88 | $69.18 | $83.18 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $41.69 Typical High $53.70 | Professional | TC · Technical part | $35.48 | $41.69 | $53.70 |
Moda Health Setting Facility Modifier None Typical Low $83.18 Median $100.00 Typical High $316.23 | Facility | None | $83.18 | $100.00 | $316.23 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $54.95 Median $83.18 Typical High $147.91 | Professional | None (both parts) | $54.95 | $83.18 | $147.91 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $50.12 Typical High $89.13 | Professional | 26 · Professional part | $34.67 | $50.12 | $89.13 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $33.11 Typical High $56.23 | Professional | TC · Technical part | $21.38 | $33.11 | $56.23 |
Pacific Source Setting Facility Modifier None Typical Low $34.67 Median $72.44 Typical High $147.91 | Facility | None | $34.67 | $72.44 | $147.91 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $28.84 Median $31.62 Typical High $56.23 | Professional | None (both parts) | $28.84 | $31.62 | $56.23 |
Providence Setting Facility Modifier None Typical Low $100.00 Median $199.53 Typical High $346.74 | Facility | None | $100.00 | $199.53 | $346.74 |
Providence Setting Professional Modifier None (both parts) Typical Low $70.79 Median $112.20 Typical High $177.83 | Professional | None (both parts) | $70.79 | $112.20 | $177.83 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $70.79 Typical High $102.33 | Professional | 26 · Professional part | $43.65 | $70.79 | $102.33 |
Providence Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $47.86 Typical High $77.62 | Professional | TC · Technical part | $27.54 | $47.86 | $77.62 |
Regence BlueShield Setting Facility Modifier None Typical Low $309.03 Median $389.05 Typical High $501.19 | Facility | None | $309.03 | $389.05 | $501.19 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $89.13 Median $93.33 Typical High $138.04 | Professional | None (both parts) | $89.13 | $93.33 | $138.04 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $58.88 Typical High $85.11 | Professional | 26 · Professional part | $56.23 | $58.88 | $85.11 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $35.48 Typical High $53.70 | Professional | TC · Technical part | $33.11 | $35.48 | $53.70 |
United Setting Facility Modifier None Typical Low $331.13 Median $416.87 Typical High $512.86 | Facility | None | $331.13 | $416.87 | $512.86 |
United Setting Professional Modifier None (both parts) Typical Low $53.70 Median $93.33 Typical High $165.96 | Professional | None (both parts) | $53.70 | $93.33 | $165.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $53.70 Typical High $97.72 | Professional | 26 · Professional part | $32.36 | $53.70 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $38.90 Typical High $61.66 | Professional | TC · Technical part | $21.88 | $38.90 | $61.66 |
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 $22.39 Median $33.88 Typical High $33.88 | Professional | 52 · Reduced service | $22.39 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $13.49 Typical High $13.49 | Professional | 53 · Discontinued | $8.91 | $13.49 | $13.49 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $22.39 Median $33.88 Typical High $33.88 | Professional | 52 · Reduced service | $22.39 | $33.88 | $33.88 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $13.49 Typical High $13.49 | Professional | 53 · Discontinued | $9.12 | $13.49 | $13.49 |
Where Oregon sits
The same service costs 3.8 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· 14th of 51
$91.20
AK $151TX $39.81
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.