How much rates vary
Facilitymedian $98 · 10th to 90th $49 to $331Professionalmedian $112 · 10th to 90th $66 to $186
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 $114.82 Typical High $141.25 | Facility | None | $83.18 | $114.82 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $81.28 Typical High $141.25 | Professional | None (both parts) | $66.07 | $81.28 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $38.02 Typical High $48.98 | Professional | 26 · Professional part | $25.12 | $38.02 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $42.66 Typical High $95.50 | Professional | TC · Technical part | $37.15 | $42.66 | $95.50 |
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 $75.86 Median $104.71 Typical High $194.98 | Professional | None (both parts) | $75.86 | $104.71 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $45.71 Typical High $79.43 | Professional | 26 · Professional part | $32.36 | $45.71 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $60.26 Typical High $117.49 | Professional | TC · Technical part | $43.65 | $60.26 | $117.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $117.49 Median $138.04 Typical High $169.82 | Professional | None | $117.49 | $138.04 | $169.82 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $61.66 Typical High $74.13 | Professional | 26 · Professional part | $51.29 | $61.66 | $74.13 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $77.62 Typical High $97.72 | Professional | TC · Technical part | $66.07 | $77.62 | $97.72 |
Moda Health Setting Facility Modifier None Typical Low $100.00 Median $165.96 Typical High $645.65 | Facility | None | $100.00 | $165.96 | $645.65 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $52.48 Median $213.80 Typical High $549.54 | Facility | TC · Technical part | $52.48 | $213.80 | $549.54 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $75.86 Median $102.33 Typical High $194.98 | Professional | None (both parts) | $75.86 | $102.33 | $194.98 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $43.65 Typical High $91.20 | Professional | 26 · Professional part | $26.92 | $43.65 | $91.20 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $66.07 Typical High $107.15 | Professional | TC · Technical part | $41.69 | $66.07 | $107.15 |
Pacific Source Setting Facility Modifier None Typical Low $44.67 Median $66.07 Typical High $138.04 | Facility | None | $44.67 | $66.07 | $138.04 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $46.77 Median $46.77 Typical High $53.70 | Professional | None (both parts) | $46.77 | $46.77 | $53.70 |
Providence Setting Facility Modifier None Typical Low $125.89 Median $186.21 Typical High $346.74 | Facility | None | $125.89 | $186.21 | $346.74 |
Providence Setting Professional Modifier None (both parts) Typical Low $89.13 Median $120.23 Typical High $204.17 | Professional | None (both parts) | $89.13 | $120.23 | $204.17 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $54.95 Typical High $81.28 | Professional | 26 · Professional part | $39.81 | $54.95 | $81.28 |
Providence Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $72.44 Typical High $151.36 | Professional | TC · Technical part | $51.29 | $72.44 | $151.36 |
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 $112.20 Median $117.49 Typical High $169.82 | Professional | None (both parts) | $112.20 | $117.49 | $169.82 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $52.48 Typical High $75.86 | Professional | 26 · Professional part | $50.12 | $52.48 | $75.86 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $64.57 Typical High $93.33 | Professional | TC · Technical part | $60.26 | $64.57 | $93.33 |
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 $60.26 Median $85.11 Typical High $194.98 | Professional | None (both parts) | $60.26 | $85.11 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $32.36 Typical High $87.10 | Professional | 26 · Professional part | $28.84 | $32.36 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $45.71 Typical High $107.15 | Professional | TC · Technical part | $30.20 | $45.71 | $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 $28.18 Median $40.74 Typical High $40.74 | Professional | 52 · Reduced service | $28.18 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $16.22 Typical High $16.22 | Professional | 53 · Discontinued | $11.22 | $16.22 | $16.22 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $28.18 Median $40.74 Typical High $40.74 | Professional | 52 · Reduced service | $28.18 | $40.74 | $40.74 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $16.22 Typical High $16.22 | Professional | 53 · Discontinued | $11.48 | $16.22 | $16.22 |
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· 8th of 51
$112
AK $182TX $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.