How much rates vary
Facilitymedian $158 · 10th to 90th $60 to $525Professionalmedian $219 · 10th to 90th $120 to $339
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 Professional Modifier None (both parts) Typical Low $114.82 Median $169.82 Typical High $218.78 | Professional | None (both parts) | $114.82 | $169.82 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $47.86 Typical High $56.23 | Professional | 26 · Professional part | $30.90 | $47.86 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $123.03 Typical High $162.18 | Professional | TC · Technical part | $83.18 | $123.03 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $741.31 Typical High $891.25 | Facility | None | $524.81 | $741.31 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $199.53 Typical High $338.84 | Professional | None (both parts) | $128.82 | $199.53 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $57.54 Typical High $102.33 | Professional | 26 · Professional part | $40.74 | $57.54 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $144.54 Typical High $245.47 | Professional | TC · Technical part | $89.13 | $144.54 | $245.47 |
Kaiser Permanente Setting Professional Modifier None Typical Low $229.09 Median $269.15 Typical High $338.84 | Professional | None | $229.09 | $269.15 | $338.84 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $79.43 Typical High $93.33 | Professional | 26 · Professional part | $66.07 | $79.43 | $93.33 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $190.55 Typical High $239.88 | Professional | TC · Technical part | $162.18 | $190.55 | $239.88 |
Moda Health Setting Facility Modifier None Typical Low $169.82 Median $275.42 Typical High $354.81 | Facility | None | $169.82 | $275.42 | $354.81 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $120.23 Median $177.83 Typical High $363.08 | Professional | None (both parts) | $120.23 | $177.83 | $363.08 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $47.86 Typical High $107.15 | Professional | 26 · Professional part | $32.36 | $47.86 | $107.15 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $123.03 Typical High $208.93 | Professional | TC · Technical part | $83.18 | $123.03 | $208.93 |
Pacific Source Setting Facility Modifier None Typical Low $56.23 Median $138.04 Typical High $229.09 | Facility | None | $56.23 | $138.04 | $229.09 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $42.66 Median $58.88 Typical High $134.90 | Professional | None (both parts) | $42.66 | $58.88 | $134.90 |
Providence Setting Facility Modifier None Typical Low $245.47 Median $338.84 Typical High $741.31 | Facility | None | $245.47 | $338.84 | $741.31 |
Providence Setting Professional Modifier None (both parts) Typical Low $173.78 Median $229.09 Typical High $338.84 | Professional | None (both parts) | $173.78 | $229.09 | $338.84 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $67.61 Typical High $100.00 | Professional | 26 · Professional part | $48.98 | $67.61 | $100.00 |
Providence Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $158.49 Typical High $239.88 | Professional | TC · Technical part | $117.49 | $158.49 | $239.88 |
Regence BlueShield Setting Facility Modifier None Typical Low $691.83 Median $794.33 Typical High $1,047.13 | Facility | None | $691.83 | $794.33 | $1,047.13 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $218.78 Median $229.09 Typical High $316.23 | Professional | None (both parts) | $218.78 | $229.09 | $316.23 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $66.07 Typical High $95.50 | Professional | 26 · Professional part | $63.10 | $66.07 | $95.50 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $162.18 Typical High $223.87 | Professional | TC · Technical part | $154.88 | $162.18 | $223.87 |
United Setting Facility Modifier None Typical Low $758.58 Median $954.99 Typical High $1,174.90 | Facility | None | $758.58 | $954.99 | $1,174.90 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $138.04 Typical High $354.81 | Professional | None (both parts) | $120.23 | $138.04 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $40.74 Typical High $107.15 | Professional | 26 · Professional part | $36.31 | $40.74 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $97.72 Typical High $245.47 | Professional | TC · Technical part | $83.18 | $97.72 | $245.47 |
5 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 Facility Modifier 53 · Discontinued Typical Low $95.50 Median $95.50 Typical High $123.03 | Facility | 53 · Discontinued | $95.50 | $95.50 | $123.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $52.48 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $33.88 Typical High $33.88 | Professional | 53 · Discontinued | $21.38 | $33.88 | $33.88 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $54.95 | $85.11 | $85.11 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $33.88 Typical High $33.88 | Professional | 53 · Discontinued | $21.88 | $33.88 | $33.88 |
Where Oregon sits
The same service costs 3.9 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· 10th of 51
$204
AK $347TX $89.13
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.