How much rates vary
Facilitymedian $89 · 10th to 90th $52 to $174Professionalmedian $132 · 10th to 90th $68 to $174
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 $83.18 Median $114.82 Typical High $114.82 | Professional | None (both parts) | $83.18 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $58.88 Typical High $58.88 | Professional | 26 · Professional part | $42.66 | $58.88 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $54.95 Typical High $54.95 | Professional | TC · Technical part | $38.90 | $54.95 | $54.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $199.53 | Professional | None (both parts) | $67.61 | $67.61 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $104.71 | Professional | 26 · Professional part | $36.31 | $36.31 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $30.90 Typical High $93.33 | Professional | TC · Technical part | $30.90 | $30.90 | $93.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $95.50 Median $190.55 Typical High $251.19 | Professional | None | $95.50 | $190.55 | $251.19 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $97.72 Typical High $125.89 | Professional | 26 · Professional part | $47.86 | $97.72 | $125.89 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $93.33 Typical High $125.89 | Professional | TC · Technical part | $47.86 | $93.33 | $125.89 |
Moda Health Setting Facility Modifier None Typical Low $114.82 Median $169.82 Typical High $223.87 | Facility | None | $114.82 | $169.82 | $223.87 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $93.33 Median $114.82 Typical High $144.54 | Professional | None (both parts) | $93.33 | $114.82 | $144.54 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $58.88 Typical High $74.13 | Professional | 26 · Professional part | $50.12 | $58.88 | $74.13 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $54.95 Typical High $70.79 | Professional | TC · Technical part | $42.66 | $54.95 | $70.79 |
Pacific Source Setting Facility Modifier None Typical Low $48.98 Median $85.11 Typical High $165.96 | Facility | None | $48.98 | $85.11 | $165.96 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $74.13 | Professional | None (both parts) | $69.18 | $69.18 | $74.13 |
Providence Setting Facility Modifier None Typical Low $117.49 Median $169.82 Typical High $223.87 | Facility | None | $117.49 | $169.82 | $223.87 |
Providence Setting Professional Modifier None (both parts) Typical Low $67.61 Median $138.04 Typical High $186.21 | Professional | None (both parts) | $67.61 | $138.04 | $186.21 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $54.95 Typical High $107.15 | Professional | 26 · Professional part | $36.31 | $54.95 | $107.15 |
Providence Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $48.98 Typical High $100.00 | Professional | TC · Technical part | $30.90 | $48.98 | $100.00 |
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 $165.96 Median $165.96 Typical High $173.78 | Professional | None (both parts) | $165.96 | $165.96 | $173.78 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $89.13 | Professional | 26 · Professional part | $85.11 | $85.11 | $89.13 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $81.28 Typical High $85.11 | Professional | TC · Technical part | $81.28 | $81.28 | $85.11 |
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 $89.13 Median $128.82 Typical High $194.98 | Professional | None (both parts) | $89.13 | $128.82 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $70.79 Typical High $104.71 | Professional | 26 · Professional part | $50.12 | $70.79 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $60.26 Typical High $89.13 | Professional | TC · Technical part | $42.66 | $60.26 | $89.13 |
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 $41.69 Median $57.54 Typical High $57.54 | Professional | 52 · Reduced service | $41.69 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $22.91 Typical High $22.91 | Professional | 53 · Discontinued | $16.60 | $22.91 | $22.91 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $57.54 Typical High $57.54 | Professional | 52 · Reduced service | $44.67 | $57.54 | $57.54 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $22.91 Typical High $22.91 | Professional | 53 · Discontinued | $17.78 | $22.91 | $22.91 |
Where Oregon sits
The same service costs 3.7 times more in Alaska than in New Jersey. 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
$129
AK $229NJ $61.66
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.