How much rates vary
Facilitymedian $85 · 10th to 90th $35 to $166Professionalmedian $123 · 10th to 90th $81 to $182
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 $72.44 Median $81.28 Typical High $83.18 | Professional | None (both parts) | $72.44 | $81.28 | $83.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $57.54 Typical High $57.54 | Professional | 26 · Professional part | $51.29 | $57.54 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $25.12 Typical High $25.12 | Professional | TC · Technical part | $22.91 | $25.12 | $25.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $112.20 Typical High $199.53 | Professional | None (both parts) | $75.86 | $112.20 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $79.43 Typical High $134.90 | Professional | 26 · Professional part | $53.70 | $79.43 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $36.31 Typical High $63.10 | Professional | TC · Technical part | $22.39 | $36.31 | $63.10 |
Kaiser Permanente Setting Professional Modifier None Typical Low $120.23 Median $151.36 Typical High $173.78 | Professional | None | $120.23 | $151.36 | $173.78 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $102.33 Typical High $117.49 | Professional | 26 · Professional part | $83.18 | $102.33 | $117.49 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $46.77 Typical High $56.23 | Professional | TC · Technical part | $37.15 | $46.77 | $56.23 |
Moda Health Setting Facility Modifier None Typical Low $81.28 Median $117.49 Typical High $165.96 | Facility | None | $81.28 | $117.49 | $165.96 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $141.25 | Professional | None (both parts) | $81.28 | $81.28 | $141.25 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $57.54 Typical High $100.00 | Professional | 26 · Professional part | $56.23 | $57.54 | $100.00 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $25.12 Typical High $44.67 | Professional | TC · Technical part | $25.12 | $25.12 | $44.67 |
Pacific Source Setting Facility Modifier None Typical Low $33.88 Median $74.13 Typical High $128.82 | Facility | None | $33.88 | $74.13 | $128.82 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $28.84 Median $28.84 Typical High $61.66 | Professional | None (both parts) | $28.84 | $28.84 | $61.66 |
Providence Setting Facility Modifier None Typical Low $74.13 Median $104.71 Typical High $165.96 | Facility | None | $74.13 | $104.71 | $165.96 |
Providence Setting Professional Modifier None (both parts) Typical Low $79.43 Median $125.89 Typical High $190.55 | Professional | None (both parts) | $79.43 | $125.89 | $190.55 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $89.13 Typical High $134.90 | Professional | 26 · Professional part | $54.95 | $89.13 | $134.90 |
Providence Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $41.69 Typical High $63.10 | Professional | TC · Technical part | $23.44 | $41.69 | $63.10 |
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 $120.23 Median $123.03 Typical High $128.82 | Professional | None (both parts) | $120.23 | $123.03 | $128.82 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $83.18 Typical High $89.13 | Professional | 26 · Professional part | $81.28 | $83.18 | $89.13 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $38.90 Typical High $40.74 | Professional | TC · Technical part | $38.02 | $38.90 | $40.74 |
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 $89.13 Median $128.82 Typical High $208.93 | Professional | None (both parts) | $89.13 | $128.82 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $89.13 Typical High $144.54 | Professional | 26 · Professional part | $63.10 | $89.13 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $37.15 Typical High $66.07 | Professional | TC · Technical part | $25.70 | $37.15 | $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 $36.31 Median $40.74 Typical High $40.74 | Professional | 52 · Reduced service | $36.31 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $16.60 Typical High $16.60 | Professional | 53 · Discontinued | $14.79 | $16.60 | $16.60 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $40.74 Typical High $40.74 | Professional | 52 · Reduced service | $36.31 | $40.74 | $40.74 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $16.60 Typical High $16.60 | Professional | 53 · Discontinued | $14.79 | $16.60 | $16.60 |
Where Oregon sits
The same service costs 3.9 times more in Alaska 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· 5th of 51
$120
AK $170TX $43.65
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.