How much rates vary
Facilitymedian $66 · 10th to 90th $36 to $229Professionalmedian $89 · 10th to 90th $56 to $145
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 $45.71 Median $64.57 Typical High $87.10 | Professional | None (both parts) | $45.71 | $64.57 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $30.90 Typical High $38.02 | Professional | 26 · Professional part | $21.88 | $30.90 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $33.88 Typical High $48.98 | Professional | TC · Technical part | $24.55 | $33.88 | $48.98 |
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 $69.18 Median $81.28 Typical High $147.91 | Professional | None (both parts) | $69.18 | $81.28 | $147.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $38.02 Typical High $67.61 | Professional | 26 · Professional part | $30.20 | $38.02 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $45.71 Typical High $87.10 | Professional | TC · Technical part | $38.02 | $45.71 | $87.10 |
Kaiser Permanente Setting Professional Modifier None Typical Low $93.33 Median $109.65 Typical High $134.90 | Professional | None | $93.33 | $109.65 | $134.90 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $51.29 Typical High $61.66 | Professional | 26 · Professional part | $43.65 | $51.29 | $61.66 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $58.88 Typical High $74.13 | Professional | TC · Technical part | $48.98 | $58.88 | $74.13 |
Moda Health Setting Facility Modifier None Typical Low $64.57 Median $154.88 Typical High $208.93 | Facility | None | $64.57 | $154.88 | $208.93 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $54.95 Median $79.43 Typical High $131.83 | Professional | None (both parts) | $54.95 | $79.43 | $131.83 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $33.88 Typical High $58.88 | Professional | 26 · Professional part | $26.92 | $33.88 | $58.88 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $44.67 Typical High $69.18 | Professional | TC · Technical part | $33.88 | $44.67 | $69.18 |
Pacific Source Setting Facility Modifier None Typical Low $33.11 Median $50.12 Typical High $95.50 | Facility | None | $33.11 | $50.12 | $95.50 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $38.02 Median $39.81 Typical High $41.69 | Professional | None (both parts) | $38.02 | $39.81 | $41.69 |
Providence Setting Facility Modifier None Typical Low $97.72 Median $154.88 Typical High $346.74 | Facility | None | $97.72 | $154.88 | $346.74 |
Providence Setting Professional Modifier None (both parts) Typical Low $70.79 Median $104.71 Typical High $154.88 | Professional | None (both parts) | $70.79 | $104.71 | $154.88 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $47.86 Typical High $67.61 | Professional | 26 · Professional part | $33.11 | $47.86 | $67.61 |
Providence Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $58.88 Typical High $93.33 | Professional | TC · Technical part | $38.02 | $58.88 | $93.33 |
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 $87.10 Median $91.20 Typical High $128.82 | Professional | None (both parts) | $87.10 | $91.20 | $128.82 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $42.66 Typical High $61.66 | Professional | 26 · Professional part | $40.74 | $42.66 | $61.66 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $47.86 Typical High $69.18 | Professional | TC · Technical part | $45.71 | $47.86 | $69.18 |
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 $48.98 Median $79.43 Typical High $151.36 | Professional | None (both parts) | $48.98 | $79.43 | $151.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $31.62 Typical High $70.79 | Professional | 26 · Professional part | $23.44 | $31.62 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $45.71 Typical High $79.43 | Professional | TC · Technical part | $25.70 | $45.71 | $79.43 |
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 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $33.88 | Facility | 53 · Discontinued | $26.92 | $26.92 | $33.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.88 Median $32.36 Typical High $32.36 | Professional | 52 · Reduced service | $21.88 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $12.88 Typical High $12.88 | Professional | 53 · Discontinued | $8.71 | $12.88 | $12.88 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $21.88 Median $32.36 Typical High $32.36 | Professional | 52 · Reduced service | $21.88 | $32.36 | $32.36 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $12.88 Typical High $12.88 | Professional | 53 · Discontinued | $8.71 | $12.88 | $12.88 |
Where Oregon sits
The same service costs 4.5 times more in Alaska than in Utah. 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
$87.10
AK $141UT $31.62
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.