How much rates vary
Facilitymedian $186 · 10th to 90th $47 to $331Professionalmedian $251 · 10th to 90th $91 to $417
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 $53.70 Median $162.18 Typical High $229.09 | Professional | None (both parts) | $53.70 | $162.18 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $38.90 Typical High $58.88 | Professional | 26 · Professional part | $13.49 | $38.90 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $131.83 Typical High $169.82 | Professional | TC · Technical part | $38.90 | $131.83 | $169.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $234.42 Typical High $426.58 | Professional | None (both parts) | $125.89 | $234.42 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $42.66 Typical High $100.00 | Professional | 26 · Professional part | $28.84 | $42.66 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $190.55 Typical High $346.74 | Professional | TC · Technical part | $97.72 | $190.55 | $346.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $269.15 Median $323.59 Typical High $389.05 | Professional | None | $269.15 | $323.59 | $389.05 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $53.70 Typical High $61.66 | Professional | 26 · Professional part | $43.65 | $53.70 | $61.66 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $269.15 Typical High $331.13 | Professional | TC · Technical part | $223.87 | $269.15 | $331.13 |
Moda Health Setting Facility Modifier None Typical Low $125.89 Median $251.19 Typical High $338.84 | Facility | None | $125.89 | $251.19 | $338.84 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $53.70 Median $204.17 Typical High $309.03 | Professional | None (both parts) | $53.70 | $204.17 | $309.03 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $40.74 Typical High $60.26 | Professional | 26 · Professional part | $13.80 | $40.74 | $60.26 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $144.54 Typical High $257.04 | Professional | TC · Technical part | $39.81 | $144.54 | $257.04 |
Pacific Source Setting Facility Modifier None Typical Low $46.77 Median $177.83 Typical High $263.03 | Facility | None | $46.77 | $177.83 | $263.03 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $39.81 Median $81.28 Typical High $190.55 | Professional | None (both parts) | $39.81 | $81.28 | $190.55 |
Providence Setting Facility Modifier None Typical Low $125.89 Median $251.19 Typical High $338.84 | Facility | None | $125.89 | $251.19 | $338.84 |
Providence Setting Professional Modifier None (both parts) Typical Low $93.33 Median $275.42 Typical High $426.58 | Professional | None (both parts) | $93.33 | $275.42 | $426.58 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $67.61 Typical High $102.33 | Professional | 26 · Professional part | $34.67 | $67.61 | $102.33 |
Providence Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $204.17 Typical High $338.84 | Professional | TC · Technical part | $141.25 | $204.17 | $338.84 |
Regence BlueShield Setting Facility Modifier None Typical Low $323.59 Median $446.68 Typical High $512.86 | Facility | None | $323.59 | $446.68 | $512.86 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $251.19 Median $288.40 Typical High $398.11 | Professional | None (both parts) | $251.19 | $288.40 | $398.11 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $58.88 Typical High $91.20 | Professional | 26 · Professional part | $54.95 | $58.88 | $91.20 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $229.09 Typical High $302.00 | Professional | TC · Technical part | $173.78 | $229.09 | $302.00 |
United Setting Facility Modifier None Typical Low $426.58 Median $524.81 Typical High $660.69 | Facility | None | $426.58 | $524.81 | $660.69 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $269.15 Typical High $436.52 | Professional | None (both parts) | $100.00 | $269.15 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $79.43 Typical High $109.65 | Professional | 26 · Professional part | $47.86 | $79.43 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $194.98 Typical High $323.59 | Professional | TC · Technical part | $100.00 | $194.98 | $323.59 |
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 $53.70 Median $102.33 Typical High $102.33 | Professional | 52 · Reduced service | $53.70 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $40.74 Typical High $40.74 | Professional | 53 · Discontinued | $21.38 | $40.74 | $40.74 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $102.33 Typical High $102.33 | Professional | 52 · Reduced service | $54.95 | $102.33 | $102.33 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $40.74 Typical High $40.74 | Professional | 53 · Discontinued | $21.88 | $40.74 | $40.74 |
Where Oregon sits
The same service costs 5.2 times more in Alaska than in Indiana. 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
$229
AK $363IN $69.18
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.