How much rates vary
Facilitymedian $166 · 10th to 90th $25 to $263Professionalmedian $162 · 10th to 90th $81 to $269
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 Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $112.20 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $19.05 Typical High $19.05 | Professional | 26 · Professional part | $14.13 | $19.05 | $19.05 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $138.04 Typical High $138.04 | Professional | TC · Technical part | $97.72 | $138.04 | $138.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $288.40 | Professional | None (both parts) | $81.28 | $81.28 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $11.75 Typical High $33.11 | Professional | 26 · Professional part | $11.75 | $11.75 | $33.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $257.04 | Professional | TC · Technical part | $69.18 | $69.18 | $257.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $147.91 Median $288.40 Typical High $389.05 | Professional | None | $147.91 | $288.40 | $389.05 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $31.62 Typical High $40.74 | Professional | 26 · Professional part | $15.49 | $31.62 | $40.74 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $257.04 Typical High $346.74 | Professional | TC · Technical part | $131.83 | $257.04 | $346.74 |
Moda Health Setting Facility Modifier None Typical Low $158.49 Median $204.17 Typical High $281.84 | Facility | None | $158.49 | $204.17 | $281.84 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $128.82 Median $158.49 Typical High $223.87 | Professional | None (both parts) | $128.82 | $158.49 | $223.87 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $19.05 Typical High $23.99 | Professional | 26 · Professional part | $16.60 | $19.05 | $23.99 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $138.04 Typical High $199.53 | Professional | TC · Technical part | $107.15 | $138.04 | $199.53 |
Pacific Source Setting Facility Modifier None Typical Low $23.99 Median $144.54 Typical High $239.88 | Facility | None | $23.99 | $144.54 | $239.88 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $33.88 Median $33.88 Typical High $257.04 | Professional | None (both parts) | $33.88 | $33.88 | $257.04 |
Providence Setting Facility Modifier None Typical Low $165.96 Median $234.42 Typical High $323.59 | Facility | None | $165.96 | $234.42 | $323.59 |
Providence Setting Professional Modifier None (both parts) Typical Low $81.28 Median $158.49 Typical High $257.04 | Professional | None (both parts) | $81.28 | $158.49 | $257.04 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $19.05 Typical High $34.67 | Professional | 26 · Professional part | $11.75 | $19.05 | $34.67 |
Providence Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $125.89 Typical High $275.42 | Professional | TC · Technical part | $69.18 | $125.89 | $275.42 |
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 $251.19 Median $251.19 Typical High $269.15 | Professional | None (both parts) | $251.19 | $251.19 | $269.15 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $29.51 | Professional | 26 · Professional part | $28.18 | $28.18 | $29.51 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $223.87 Typical High $239.88 | Professional | TC · Technical part | $223.87 | $223.87 | $239.88 |
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 $114.82 Median $169.82 Typical High $257.04 | Professional | None (both parts) | $114.82 | $169.82 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $23.44 Typical High $35.48 | Professional | 26 · Professional part | $16.22 | $23.44 | $35.48 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $147.91 Typical High $223.87 | Professional | TC · Technical part | $100.00 | $147.91 | $223.87 |
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 $57.54 Median $79.43 Typical High $79.43 | Professional | 52 · Reduced service | $57.54 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $23.44 | $31.62 | $31.62 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $79.43 Typical High $79.43 | Professional | 52 · Reduced service | $64.57 | $79.43 | $79.43 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $26.30 | $31.62 | $31.62 |
Where Oregon sits
The same service costs 3.0 times more in Alaska than in Florida. 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· 9th of 51
$162
AK $245FL $81.28
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.