How much rates vary
Facilitymedian $120 · 10th to 90th $59 to $363Professionalmedian $151 · 10th to 90th $87 to $245
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 $117.49 Median $165.96 Typical High $194.98 | Facility | None | $117.49 | $165.96 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $117.49 Typical High $165.96 | Professional | None (both parts) | $83.18 | $117.49 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $42.66 Typical High $57.54 | Professional | 26 · Professional part | $27.54 | $42.66 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $74.13 Typical High $104.71 | Professional | TC · Technical part | $54.95 | $74.13 | $104.71 |
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 $141.25 Typical High $234.42 | Professional | None (both parts) | $95.50 | $141.25 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $51.29 Typical High $89.13 | Professional | 26 · Professional part | $36.31 | $51.29 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $89.13 Typical High $151.36 | Professional | TC · Technical part | $60.26 | $89.13 | $151.36 |
Kaiser Permanente Setting Professional Modifier None Typical Low $162.18 Median $181.97 Typical High $234.42 | Professional | None | $162.18 | $181.97 | $234.42 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $70.79 Typical High $83.18 | Professional | 26 · Professional part | $58.88 | $70.79 | $83.18 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $117.49 Typical High $147.91 | Professional | TC · Technical part | $100.00 | $117.49 | $147.91 |
Moda Health Setting Facility Modifier None Typical Low $131.83 Median $275.42 Typical High $478.63 | Facility | None | $131.83 | $275.42 | $478.63 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $91.20 Median $309.03 Typical High $478.63 | Facility | TC · Technical part | $91.20 | $309.03 | $478.63 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $91.20 Median $141.25 Typical High $389.05 | Professional | None (both parts) | $91.20 | $141.25 | $389.05 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $52.48 Typical High $120.23 | Professional | 26 · Professional part | $30.90 | $52.48 | $120.23 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $74.13 Typical High $134.90 | Professional | TC · Technical part | $54.95 | $74.13 | $134.90 |
Pacific Source Setting Facility Modifier None Typical Low $50.12 Median $97.72 Typical High $162.18 | Facility | None | $50.12 | $97.72 | $162.18 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $52.48 Median $52.48 Typical High $83.18 | Professional | None (both parts) | $52.48 | $52.48 | $83.18 |
Providence Setting Facility Modifier None Typical Low $169.82 Median $234.42 Typical High $354.81 | Facility | None | $169.82 | $234.42 | $354.81 |
Providence Setting Professional Modifier None (both parts) Typical Low $123.03 Median $165.96 Typical High $239.88 | Professional | None (both parts) | $123.03 | $165.96 | $239.88 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $60.26 Typical High $89.13 | Professional | 26 · Professional part | $44.67 | $60.26 | $89.13 |
Providence Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $102.33 Typical High $147.91 | Professional | TC · Technical part | $75.86 | $102.33 | $147.91 |
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 $151.36 Median $158.49 Typical High $223.87 | Professional | None (both parts) | $151.36 | $158.49 | $223.87 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $58.88 Typical High $85.11 | Professional | 26 · Professional part | $56.23 | $58.88 | $85.11 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $100.00 Typical High $138.04 | Professional | TC · Technical part | $93.33 | $100.00 | $138.04 |
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 $85.11 Median $97.72 Typical High $251.19 | Professional | None (both parts) | $85.11 | $97.72 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $36.31 Typical High $97.72 | Professional | 26 · Professional part | $32.36 | $36.31 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $60.26 Typical High $154.88 | Professional | TC · Technical part | $52.48 | $60.26 | $154.88 |
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 $38.02 Median $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $38.02 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $23.44 Typical High $23.44 | Professional | 53 · Discontinued | $15.14 | $23.44 | $23.44 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $38.90 | $58.88 | $58.88 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $23.44 Typical High $23.44 | Professional | 53 · Discontinued | $15.49 | $23.44 | $23.44 |
Where Oregon sits
The same service costs 3.6 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
$151
AK $245TX $67.61
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.