How much rates vary
Facilitymedian $52 · 10th to 90th $30 to $120Professionalmedian $74 · 10th to 90th $37 to $95
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 $48.98 Median $61.66 Typical High $66.07 | Professional | None (both parts) | $48.98 | $61.66 | $66.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $26.92 Typical High $26.92 | Professional | 26 · Professional part | $20.42 | $26.92 | $26.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $34.67 Typical High $38.02 | Professional | TC · Technical part | $26.30 | $34.67 | $38.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $37.15 Typical High $109.65 | Professional | None (both parts) | $37.15 | $37.15 | $109.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $16.98 Typical High $47.86 | Professional | 26 · Professional part | $16.98 | $16.98 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $20.42 Typical High $63.10 | Professional | TC · Technical part | $20.42 | $20.42 | $63.10 |
Kaiser Permanente Setting Professional Modifier None Typical Low $51.29 Median $102.33 Typical High $134.90 | Professional | None | $51.29 | $102.33 | $134.90 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $43.65 Typical High $56.23 | Professional | 26 · Professional part | $21.38 | $43.65 | $56.23 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $58.88 Typical High $79.43 | Professional | TC · Technical part | $30.20 | $58.88 | $79.43 |
Moda Health Setting Facility Modifier None Typical Low $61.66 Median $117.49 Typical High $186.21 | Facility | None | $61.66 | $117.49 | $186.21 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $53.70 Median $61.66 Typical High $83.18 | Professional | None (both parts) | $53.70 | $61.66 | $83.18 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $26.92 Typical High $33.88 | Professional | 26 · Professional part | $22.91 | $26.92 | $33.88 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $34.67 Typical High $48.98 | Professional | TC · Technical part | $30.20 | $34.67 | $48.98 |
Pacific Source Setting Facility Modifier None Typical Low $29.51 Median $48.98 Typical High $93.33 | Facility | None | $29.51 | $48.98 | $93.33 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $30.90 Median $30.90 Typical High $37.15 | Professional | None (both parts) | $30.90 | $30.90 | $37.15 |
Providence Setting Facility Modifier None Typical Low $63.10 Median $117.49 Typical High $186.21 | Facility | None | $63.10 | $117.49 | $186.21 |
Providence Setting Professional Modifier None (both parts) Typical Low $37.15 Median $85.11 Typical High $109.65 | Professional | None (both parts) | $37.15 | $85.11 | $109.65 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $21.38 Typical High $53.70 | Professional | 26 · Professional part | $16.98 | $21.38 | $53.70 |
Providence Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $28.84 Typical High $75.86 | Professional | TC · Technical part | $20.42 | $28.84 | $75.86 |
Regence BlueShield Setting Facility Modifier None Typical Low $162.18 Median $213.80 Typical High $245.47 | Facility | None | $162.18 | $213.80 | $245.47 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $95.50 | Professional | None (both parts) | $89.13 | $89.13 | $95.50 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $40.74 | Professional | 26 · Professional part | $38.90 | $38.90 | $40.74 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $51.29 Typical High $53.70 | Professional | TC · Technical part | $51.29 | $51.29 | $53.70 |
United Setting Facility Modifier None Typical Low $186.21 Median $234.42 Typical High $288.40 | Facility | None | $186.21 | $234.42 | $288.40 |
United Setting Professional Modifier None (both parts) Typical Low $51.29 Median $72.44 Typical High $112.20 | Professional | None (both parts) | $51.29 | $72.44 | $112.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $33.11 Typical High $48.98 | Professional | 26 · Professional part | $23.99 | $33.11 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $39.81 Typical High $66.07 | Professional | TC · Technical part | $29.51 | $39.81 | $66.07 |
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 $23.44 Median $30.90 Typical High $33.11 | Professional | 52 · Reduced service | $23.44 | $30.90 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $12.30 Typical High $13.18 | Professional | 53 · Discontinued | $9.55 | $12.30 | $13.18 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 52 · Reduced service | $30.90 | $30.90 | $30.90 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | 53 · Discontinued | $12.30 | $12.30 | $12.30 |
Where Oregon sits
The same service costs 3.4 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· 5th of 51
$70.79
AK $123UT $36.31
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.