How much rates vary
Facilitymedian $79 · 10th to 90th $38 to $158Professionalmedian $145 · 10th to 90th $47 to $234
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 $33.88 Median $112.20 Typical High $141.25 | Professional | None (both parts) | $33.88 | $112.20 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $44.67 Typical High $51.29 | Professional | 26 · Professional part | $16.60 | $44.67 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $67.61 Typical High $89.13 | Professional | TC · Technical part | $17.38 | $67.61 | $89.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $144.54 Typical High $234.42 | Professional | None (both parts) | $87.10 | $144.54 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $56.23 Typical High $87.10 | Professional | 26 · Professional part | $40.74 | $56.23 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $89.13 Typical High $144.54 | Professional | TC · Technical part | $53.70 | $89.13 | $144.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $158.49 Median $181.97 Typical High $223.87 | Professional | None | $158.49 | $181.97 | $223.87 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $70.79 Typical High $85.11 | Professional | 26 · Professional part | $60.26 | $70.79 | $85.11 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $109.65 Typical High $141.25 | Professional | TC · Technical part | $97.72 | $109.65 | $141.25 |
Moda Health Setting Facility Modifier None Typical Low $83.18 Median $112.20 Typical High $173.78 | Facility | None | $83.18 | $112.20 | $173.78 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $38.02 Median $112.20 Typical High $208.93 | Professional | None (both parts) | $38.02 | $112.20 | $208.93 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $44.67 Typical High $93.33 | Professional | 26 · Professional part | $17.38 | $44.67 | $93.33 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $67.61 Typical High $117.49 | Professional | TC · Technical part | $19.95 | $67.61 | $117.49 |
Pacific Source Setting Facility Modifier None Typical Low $38.02 Median $77.62 Typical High $158.49 | Facility | None | $38.02 | $77.62 | $158.49 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $53.70 Median $53.70 Typical High $95.50 | Professional | None (both parts) | $53.70 | $53.70 | $95.50 |
Providence Setting Facility Modifier None Typical Low $91.20 Median $173.78 Typical High $354.81 | Facility | None | $91.20 | $173.78 | $354.81 |
Providence Setting Professional Modifier None (both parts) Typical Low $74.13 Median $151.36 Typical High $234.42 | Professional | None (both parts) | $74.13 | $151.36 | $234.42 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $56.23 Typical High $91.20 | Professional | 26 · Professional part | $33.11 | $56.23 | $91.20 |
Providence Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $85.11 Typical High $144.54 | Professional | TC · Technical part | $30.20 | $85.11 | $144.54 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $151.36 Median $158.49 Typical High $239.88 | Professional | None (both parts) | $151.36 | $158.49 | $239.88 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $61.66 Typical High $93.33 | Professional | 26 · Professional part | $58.88 | $61.66 | $93.33 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $95.50 Typical High $147.91 | Professional | TC · Technical part | $91.20 | $95.50 | $147.91 |
United Setting Professional Modifier None (both parts) Typical Low $33.11 Median $77.62 Typical High $275.42 | Professional | None (both parts) | $33.11 | $77.62 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $34.67 Typical High $107.15 | Professional | 26 · Professional part | $19.95 | $34.67 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $51.29 Typical High $165.96 | Professional | TC · Technical part | $14.45 | $51.29 | $165.96 |
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 $52.48 Median $52.48 Typical High $67.61 | Facility | 53 · Discontinued | $52.48 | $52.48 | $67.61 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $56.23 Typical High $56.23 | Professional | 52 · Reduced service | $41.69 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $22.39 Typical High $22.39 | Professional | 53 · Discontinued | $16.60 | $22.39 | $22.39 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | 52 · Reduced service | $56.23 | $56.23 | $56.23 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | 53 · Discontinued | $22.39 | $22.39 | $22.39 |
Where Oregon sits
The same service costs 5.9 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· 19th of 51
$91.20
AK $245TX $41.69
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.