How much rates vary
Facilitymedian $93 · 10th to 90th $66 to $186Professionalmedian $162 · 10th to 90th $93 to $257
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 $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $125.89 Typical High $158.49 | Professional | None (both parts) | $87.10 | $125.89 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $64.57 Typical High $75.86 | Professional | 26 · Professional part | $41.69 | $64.57 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $61.66 Typical High $81.28 | Professional | TC · Technical part | $45.71 | $61.66 | $81.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $147.91 Typical High $257.04 | Professional | None (both parts) | $102.33 | $147.91 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $77.62 Typical High $138.04 | Professional | 26 · Professional part | $54.95 | $77.62 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $72.44 Typical High $125.89 | Professional | TC · Technical part | $51.29 | $72.44 | $125.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $169.82 Median $204.17 Typical High $251.19 | Professional | None | $169.82 | $204.17 | $251.19 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $107.15 Typical High $128.82 | Professional | 26 · Professional part | $89.13 | $107.15 | $128.82 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $95.50 Typical High $120.23 | Professional | TC · Technical part | $81.28 | $95.50 | $120.23 |
Moda Health Setting Facility Modifier None Typical Low $125.89 Median $213.80 Typical High $269.15 | Facility | None | $125.89 | $213.80 | $269.15 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $87.10 Median $144.54 Typical High $269.15 | Professional | None (both parts) | $87.10 | $144.54 | $269.15 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $64.57 Typical High $138.04 | Professional | 26 · Professional part | $41.69 | $64.57 | $138.04 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $61.66 Typical High $104.71 | Professional | TC · Technical part | $45.71 | $61.66 | $104.71 |
Pacific Source Setting Facility Modifier None Typical Low $63.10 Median $93.33 Typical High $177.83 | Facility | None | $63.10 | $93.33 | $177.83 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $53.70 | Professional | None (both parts) | $50.12 | $50.12 | $53.70 |
Providence Setting Facility Modifier None Typical Low $181.97 Median $229.09 Typical High $380.19 | Facility | None | $181.97 | $229.09 | $380.19 |
Providence Setting Professional Modifier None (both parts) Typical Low $128.82 Median $177.83 Typical High $257.04 | Professional | None (both parts) | $128.82 | $177.83 | $257.04 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $91.20 Typical High $134.90 | Professional | 26 · Professional part | $67.61 | $91.20 | $134.90 |
Providence Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $83.18 Typical High $120.23 | Professional | TC · Technical part | $61.66 | $83.18 | $120.23 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $162.18 Median $169.82 Typical High $239.88 | Professional | None (both parts) | $162.18 | $169.82 | $239.88 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $89.13 Typical High $128.82 | Professional | 26 · Professional part | $85.11 | $89.13 | $128.82 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $81.28 Typical High $112.20 | Professional | TC · Technical part | $77.62 | $81.28 | $112.20 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $104.71 Typical High $275.42 | Professional | None (both parts) | $93.33 | $104.71 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $54.95 Typical High $147.91 | Professional | 26 · Professional part | $48.98 | $54.95 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $50.12 Typical High $125.89 | Professional | TC · Technical part | $42.66 | $50.12 | $125.89 |
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 $40.74 Median $63.10 Typical High $63.10 | Professional | 52 · Reduced service | $40.74 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $25.12 Typical High $25.12 | Professional | 53 · Discontinued | $16.22 | $25.12 | $25.12 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $63.10 Typical High $63.10 | Professional | 52 · Reduced service | $41.69 | $63.10 | $63.10 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $25.12 Typical High $25.12 | Professional | 53 · Discontinued | $16.98 | $25.12 | $25.12 |
Where Oregon sits
The same service costs 4.2 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· 9th of 51
$155
AK $275TX $66.07
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.