How much rates vary
Facilitymedian $85 · 10th to 90th $47 to $302Professionalmedian $129 · 10th to 90th $72 to $204
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 $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $102.33 Typical High $125.89 | Professional | None (both parts) | $60.26 | $102.33 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $38.02 Typical High $44.67 | Professional | 26 · Professional part | $24.55 | $38.02 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $64.57 Typical High $79.43 | Professional | TC · Technical part | $34.67 | $64.57 | $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 $120.23 Typical High $204.17 | Professional | None (both parts) | $85.11 | $120.23 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $45.71 Typical High $79.43 | Professional | 26 · Professional part | $33.11 | $45.71 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $74.13 Typical High $128.82 | Professional | TC · Technical part | $53.70 | $74.13 | $128.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $134.90 Median $162.18 Typical High $199.53 | Professional | None | $134.90 | $162.18 | $199.53 |
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 $83.18 Median $97.72 Typical High $123.03 | Professional | TC · Technical part | $83.18 | $97.72 | $123.03 |
Moda Health Setting Facility Modifier None Typical Low $144.54 Median $169.82 Typical High $707.95 | Facility | None | $144.54 | $169.82 | $707.95 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $66.07 Median $114.82 Typical High $223.87 | Professional | None (both parts) | $66.07 | $114.82 | $223.87 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $38.02 Typical High $87.10 | Professional | 26 · Professional part | $25.70 | $38.02 | $87.10 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $64.57 Typical High $109.65 | Professional | TC · Technical part | $38.02 | $64.57 | $109.65 |
Pacific Source Setting Facility Modifier None Typical Low $44.67 Median $81.28 Typical High $141.25 | Facility | None | $44.67 | $81.28 | $141.25 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $45.71 Median $47.86 Typical High $72.44 | Professional | None (both parts) | $45.71 | $47.86 | $72.44 |
Providence Setting Facility Modifier None Typical Low $144.54 Median $186.21 Typical High $346.74 | Facility | None | $144.54 | $186.21 | $346.74 |
Providence Setting Professional Modifier None (both parts) Typical Low $104.71 Median $134.90 Typical High $204.17 | Professional | None (both parts) | $104.71 | $134.90 | $204.17 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $52.48 Typical High $79.43 | Professional | 26 · Professional part | $39.81 | $52.48 | $79.43 |
Providence Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $79.43 Typical High $125.89 | Professional | TC · Technical part | $58.88 | $79.43 | $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 $128.82 Median $138.04 Typical High $190.55 | Professional | None (both parts) | $128.82 | $138.04 | $190.55 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $53.70 Typical High $75.86 | Professional | 26 · Professional part | $51.29 | $53.70 | $75.86 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $83.18 Typical High $114.82 | Professional | TC · Technical part | $79.43 | $83.18 | $114.82 |
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 $74.13 Median $83.18 Typical High $218.78 | Professional | None (both parts) | $74.13 | $83.18 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $33.11 Typical High $85.11 | Professional | 26 · Professional part | $28.84 | $33.11 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $51.29 Typical High $134.90 | Professional | TC · Technical part | $45.71 | $51.29 | $134.90 |
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 $32.36 Median $51.29 Typical High $51.29 | Professional | 52 · Reduced service | $32.36 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $20.42 Typical High $20.42 | Professional | 53 · Discontinued | $12.88 | $20.42 | $20.42 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $51.29 Typical High $51.29 | Professional | 52 · Reduced service | $33.11 | $51.29 | $51.29 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $20.42 Typical High $20.42 | Professional | 53 · Discontinued | $13.18 | $20.42 | $20.42 |
Where Oregon sits
The same service costs 4.4 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
$123
AK $214UT $48.98
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.