How much rates vary
Facilitymedian $117 · 10th to 90th $83 to $234Professionalmedian $204 · 10th to 90th $117 to $282
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 $134.90 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $134.90 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $72.44 Typical High $72.44 | Professional | 26 · Professional part | $63.10 | $72.44 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $70.79 Typical High $70.79 | Professional | TC · Technical part | $67.61 | $70.79 | $70.79 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $123.03 Typical High $281.84 | Professional | None (both parts) | $117.49 | $123.03 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $61.66 Typical High $141.25 | Professional | 26 · Professional part | $53.70 | $61.66 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $64.57 Typical High $144.54 | Professional | TC · Technical part | $57.54 | $64.57 | $144.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $218.78 Median $257.04 Typical High $323.59 | Professional | None | $218.78 | $257.04 | $323.59 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $120.23 Typical High $144.54 | Professional | 26 · Professional part | $100.00 | $120.23 | $144.54 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $141.25 Typical High $177.83 | Professional | TC · Technical part | $117.49 | $141.25 | $177.83 |
Moda Health Setting Facility Modifier None Typical Low $144.54 Median $251.19 Typical High $288.40 | Facility | None | $144.54 | $251.19 | $288.40 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $128.82 Median $144.54 Typical High $234.42 | Professional | None (both parts) | $128.82 | $144.54 | $234.42 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $72.44 Typical High $125.89 | Professional | 26 · Professional part | $60.26 | $72.44 | $125.89 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $70.79 Typical High $123.03 | Professional | TC · Technical part | $69.18 | $70.79 | $123.03 |
Pacific Source Setting Facility Modifier None Typical Low $77.62 Median $109.65 Typical High $223.87 | Facility | None | $77.62 | $109.65 | $223.87 |
Providence Setting Facility Modifier None Typical Low $154.88 Median $251.19 Typical High $288.40 | Facility | None | $154.88 | $251.19 | $288.40 |
Providence Setting Professional Modifier None (both parts) Typical Low $117.49 Median $169.82 Typical High $302.00 | Professional | None (both parts) | $117.49 | $169.82 | $302.00 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $79.43 Typical High $141.25 | Professional | 26 · Professional part | $53.70 | $79.43 | $141.25 |
Providence Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $74.13 Typical High $151.36 | Professional | TC · Technical part | $57.54 | $74.13 | $151.36 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,023.29 Median $1,380.38 Typical High $1,621.81 | Facility | None | $1,023.29 | $1,380.38 | $1,621.81 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $204.17 Median $213.80 Typical High $223.87 | Professional | None (both parts) | $204.17 | $213.80 | $223.87 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $102.33 Typical High $107.15 | Professional | 26 · Professional part | $100.00 | $102.33 | $107.15 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $109.65 Typical High $117.49 | Professional | TC · Technical part | $107.15 | $109.65 | $117.49 |
United Setting Facility Modifier None Typical Low $1,412.54 Median $1,778.28 Typical High $2,187.76 | Facility | None | $1,412.54 | $1,778.28 | $2,187.76 |
United Setting Professional Modifier None (both parts) Typical Low $154.88 Median $218.78 Typical High $363.08 | Professional | None (both parts) | $154.88 | $218.78 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $114.82 Typical High $173.78 | Professional | 26 · Professional part | $83.18 | $114.82 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $102.33 Typical High $186.21 | Professional | TC · Technical part | $75.86 | $102.33 | $186.21 |
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 $67.61 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $67.61 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $26.92 | $28.84 | $28.84 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $72.44 | $72.44 | $72.44 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $28.84 | $28.84 | $28.84 |
Where Oregon sits
The same service costs 3.8 times more in Minnesota than in Utah. 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
$195
MN $269UT $70.79
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.