How much rates vary
Facilitymedian $28 · 10th to 90th $6 to $63Professionalmedian $28 · 10th to 90th $12 to $46
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 $19.95 Median $23.44 Typical High $23.99 | Professional | None (both parts) | $19.95 | $23.44 | $23.99 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $18.62 Typical High $18.62 | Professional | 26 · Professional part | $13.80 | $18.62 | $18.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $4.17 Median $4.79 Typical High $5.25 | Professional | TC · Technical part | $4.17 | $4.79 | $5.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $12.30 Median $12.30 Typical High $45.71 | Professional | None (both parts) | $12.30 | $12.30 | $45.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.22 Typical High $32.36 | Professional | 26 · Professional part | $11.22 | $11.22 | $32.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1.12 Median $1.12 Typical High $9.77 | Professional | TC · Technical part | $1.12 | $1.12 | $9.77 |
Kaiser Permanente Setting Professional Modifier None Typical Low $18.62 Median $38.02 Typical High $48.98 | Professional | None | $18.62 | $38.02 | $48.98 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $30.20 Typical High $38.90 | Professional | 26 · Professional part | $14.79 | $30.20 | $38.90 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $3.98 Median $7.76 Typical High $10.47 | Professional | TC · Technical part | $3.98 | $7.76 | $10.47 |
Moda Health Setting Facility Modifier None Typical Low $23.44 Median $40.74 Typical High $79.43 | Facility | None | $23.44 | $40.74 | $79.43 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $19.95 Median $23.44 Typical High $36.31 | Professional | None (both parts) | $19.95 | $23.44 | $36.31 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $18.62 Typical High $22.91 | Professional | 26 · Professional part | $15.85 | $18.62 | $22.91 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $4.07 Median $4.79 Typical High $10.72 | Professional | TC · Technical part | $4.07 | $4.79 | $10.72 |
Pacific Source Setting Facility Modifier None Typical Low $6.03 Median $26.30 Typical High $39.81 | Facility | None | $6.03 | $26.30 | $39.81 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $4.07 Median $4.07 Typical High $15.49 | Professional | None (both parts) | $4.07 | $4.07 | $15.49 |
Providence Setting Facility Modifier None Typical Low $20.42 Median $40.74 Typical High $87.10 | Facility | None | $20.42 | $40.74 | $87.10 |
Providence Setting Professional Modifier None (both parts) Typical Low $12.30 Median $34.67 Typical High $77.62 | Professional | None (both parts) | $12.30 | $34.67 | $77.62 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $17.78 Typical High $33.11 | Professional | 26 · Professional part | $11.22 | $17.78 | $33.11 |
Providence Setting Professional Modifier TC · Technical part Typical Low $1.12 Median $4.07 Typical High $52.48 | Professional | TC · Technical part | $1.12 | $4.07 | $52.48 |
Regence BlueShield Setting Facility Modifier None Typical Low $407.38 Median $549.54 Typical High $630.96 | Facility | None | $407.38 | $549.54 | $630.96 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $33.88 Median $33.88 Typical High $35.48 | Professional | None (both parts) | $33.88 | $33.88 | $35.48 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $28.18 | Professional | 26 · Professional part | $26.92 | $26.92 | $28.18 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $7.08 Median $7.08 Typical High $7.41 | Professional | TC · Technical part | $7.08 | $7.08 | $7.41 |
United Setting Facility Modifier None Typical Low $407.38 Median $512.86 Typical High $630.96 | Facility | None | $407.38 | $512.86 | $630.96 |
United Setting Professional Modifier None (both parts) Typical Low $20.42 Median $26.92 Typical High $46.77 | Professional | None (both parts) | $20.42 | $26.92 | $46.77 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $22.39 Typical High $33.88 | Professional | 26 · Professional part | $15.49 | $22.39 | $33.88 |
United Setting Professional Modifier TC · Technical part Typical Low $2.75 Median $4.79 Typical High $10.47 | Professional | TC · Technical part | $2.75 | $4.79 | $10.47 |
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 $10.00 Median $11.75 Typical High $11.75 | Professional | 52 · Reduced service | $10.00 | $11.75 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $4.68 Typical High $4.79 | Professional | 53 · Discontinued | $3.98 | $4.68 | $4.79 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | 52 · Reduced service | $11.75 | $11.75 | $11.75 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $4.68 Typical High $4.79 | Professional | 53 · Discontinued | $4.68 | $4.68 | $4.79 |
Where Oregon sits
The same service costs 2.5 times more in California 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· 8th of 51
$28.18
CA $40.74TX $16.22
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.