How much rates vary
Facilitymedian $112 · 10th to 90th $54 to $282Professionalmedian $141 · 10th to 90th $95 to $219
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 $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $109.65 Typical High $134.90 | Professional | None (both parts) | $79.43 | $109.65 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $43.65 Typical High $53.70 | Professional | 26 · Professional part | $29.51 | $43.65 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $66.07 Typical High $81.28 | Professional | TC · Technical part | $45.71 | $66.07 | $81.28 |
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 $95.50 Median $128.82 Typical High $229.09 | Professional | None (both parts) | $95.50 | $128.82 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $53.70 Typical High $97.72 | Professional | 26 · Professional part | $38.90 | $53.70 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $75.86 Typical High $134.90 | Professional | TC · Technical part | $60.26 | $75.86 | $134.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $147.91 Median $177.83 Typical High $218.78 | Professional | None | $147.91 | $177.83 | $218.78 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $74.13 Typical High $89.13 | Professional | 26 · Professional part | $63.10 | $74.13 | $89.13 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $102.33 Typical High $128.82 | Professional | TC · Technical part | $85.11 | $102.33 | $128.82 |
Moda Health Setting Facility Modifier None Typical Low $134.90 Median $190.55 Typical High $251.19 | Facility | None | $134.90 | $190.55 | $251.19 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $81.28 Median $114.82 Typical High $186.21 | Professional | None (both parts) | $81.28 | $114.82 | $186.21 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $43.65 Typical High $81.28 | Professional | 26 · Professional part | $30.90 | $43.65 | $81.28 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $66.07 Typical High $112.20 | Professional | TC · Technical part | $48.98 | $66.07 | $112.20 |
Pacific Source Setting Facility Modifier None Typical Low $52.48 Median $83.18 Typical High $158.49 | Facility | None | $52.48 | $83.18 | $158.49 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $70.79 | Professional | None (both parts) | $54.95 | $54.95 | $70.79 |
Providence Setting Facility Modifier None Typical Low $158.49 Median $229.09 Typical High $346.74 | Facility | None | $158.49 | $229.09 | $346.74 |
Providence Setting Professional Modifier None (both parts) Typical Low $112.20 Median $162.18 Typical High $229.09 | Professional | None (both parts) | $112.20 | $162.18 | $229.09 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $64.57 Typical High $95.50 | Professional | 26 · Professional part | $46.77 | $64.57 | $95.50 |
Providence Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $95.50 Typical High $138.04 | Professional | TC · Technical part | $66.07 | $95.50 | $138.04 |
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 $138.04 Median $147.91 Typical High $208.93 | Professional | None (both parts) | $138.04 | $147.91 | $208.93 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $61.66 Typical High $89.13 | Professional | 26 · Professional part | $58.88 | $61.66 | $89.13 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $85.11 Typical High $120.23 | Professional | TC · Technical part | $81.28 | $85.11 | $120.23 |
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 $87.10 Median $102.33 Typical High $245.47 | Professional | None (both parts) | $87.10 | $102.33 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $38.02 Typical High $102.33 | Professional | 26 · Professional part | $35.48 | $38.02 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $64.57 Typical High $147.91 | Professional | TC · Technical part | $52.48 | $64.57 | $147.91 |
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 $34.67 Median $54.95 Typical High $54.95 | Professional | 52 · Reduced service | $34.67 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $21.88 Typical High $21.88 | Professional | 53 · Discontinued | $13.80 | $21.88 | $21.88 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $35.48 Median $54.95 Typical High $54.95 | Professional | 52 · Reduced service | $35.48 | $54.95 | $54.95 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $21.88 Typical High $21.88 | Professional | 53 · Discontinued | $14.13 | $21.88 | $21.88 |
Where Oregon sits
The same service costs 3.7 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· 10th of 51
$138
AK $229TX $61.66
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.