How much rates vary
Facilitymedian $100 · 10th to 90th $50 to $316Professionalmedian $110 · 10th to 90th $81 to $182
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 $93.33 Median $128.82 Typical High $147.91 | Facility | None | $93.33 | $128.82 | $147.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $93.33 Typical High $128.82 | Professional | None (both parts) | $67.61 | $93.33 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $38.02 Typical High $50.12 | Professional | 26 · Professional part | $23.44 | $38.02 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $54.95 Typical High $79.43 | Professional | TC · Technical part | $36.31 | $54.95 | $79.43 |
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 $85.11 Median $100.00 Typical High $190.55 | Professional | None (both parts) | $85.11 | $100.00 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $44.67 Typical High $75.86 | Professional | 26 · Professional part | $30.20 | $44.67 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $57.54 Typical High $109.65 | Professional | TC · Technical part | $47.86 | $57.54 | $109.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $117.49 Median $141.25 Typical High $173.78 | Professional | None | $117.49 | $141.25 | $173.78 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $63.10 Typical High $74.13 | Professional | 26 · Professional part | $52.48 | $63.10 | $74.13 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $75.86 Typical High $97.72 | Professional | TC · Technical part | $64.57 | $75.86 | $97.72 |
Moda Health Setting Facility Modifier None Typical Low $91.20 Median $204.17 Typical High $416.87 | Facility | None | $91.20 | $204.17 | $416.87 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $67.61 Median $213.80 Typical High $426.58 | Facility | TC · Technical part | $67.61 | $213.80 | $426.58 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $79.43 Median $104.71 Typical High $186.21 | Professional | None (both parts) | $79.43 | $104.71 | $186.21 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $41.69 Typical High $91.20 | Professional | 26 · Professional part | $24.55 | $41.69 | $91.20 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $58.88 Typical High $97.72 | Professional | TC · Technical part | $50.12 | $58.88 | $97.72 |
Pacific Source Setting Facility Modifier None Typical Low $43.65 Median $72.44 Typical High $154.88 | Facility | None | $43.65 | $72.44 | $154.88 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $42.66 Median $45.71 Typical High $54.95 | Professional | None (both parts) | $42.66 | $45.71 | $54.95 |
Providence Setting Facility Modifier None Typical Low $123.03 Median $213.80 Typical High $346.74 | Facility | None | $123.03 | $213.80 | $346.74 |
Providence Setting Professional Modifier None (both parts) Typical Low $87.10 Median $138.04 Typical High $190.55 | Professional | None (both parts) | $87.10 | $138.04 | $190.55 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $51.29 Typical High $77.62 | Professional | 26 · Professional part | $38.90 | $51.29 | $77.62 |
Providence Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $83.18 Typical High $125.89 | Professional | TC · Technical part | $47.86 | $83.18 | $125.89 |
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 $107.15 Median $112.20 Typical High $162.18 | Professional | None (both parts) | $107.15 | $112.20 | $162.18 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $52.48 Typical High $74.13 | Professional | 26 · Professional part | $50.12 | $52.48 | $74.13 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $58.88 Typical High $91.20 | Professional | TC · Technical part | $56.23 | $58.88 | $91.20 |
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 $70.79 Median $89.13 Typical High $199.53 | Professional | None (both parts) | $70.79 | $89.13 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $31.62 Typical High $87.10 | Professional | 26 · Professional part | $27.54 | $31.62 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $61.66 Typical High $107.15 | Professional | TC · Technical part | $45.71 | $61.66 | $107.15 |
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 $26.92 Median $46.77 Typical High $46.77 | Professional | 52 · Reduced service | $26.92 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $18.62 Typical High $18.62 | Professional | 53 · Discontinued | $10.96 | $18.62 | $18.62 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $31.62 Median $46.77 Typical High $87.10 | Professional | 52 · Reduced service | $31.62 | $46.77 | $87.10 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $18.62 Typical High $18.62 | Professional | 53 · Discontinued | $10.96 | $18.62 | $18.62 |
Where Oregon sits
The same service costs 4.1 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· 11th of 51
$110
AK $195TX $47.86
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.