How much rates vary
Facilitymedian $71 · 10th to 90th $43 to $138Professionalmedian $126 · 10th to 90th $74 to $174
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 $69.18 Median $93.33 Typical High $114.82 | Professional | None (both parts) | $69.18 | $93.33 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $47.86 Typical High $57.54 | Professional | 26 · Professional part | $40.74 | $47.86 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $44.67 Typical High $54.95 | Professional | TC · Technical part | $27.54 | $44.67 | $54.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $75.86 Typical High $173.78 | Professional | None (both parts) | $72.44 | $75.86 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $39.81 Typical High $85.11 | Professional | 26 · Professional part | $35.48 | $39.81 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $38.02 Typical High $81.28 | Professional | TC · Technical part | $36.31 | $38.02 | $81.28 |
Kaiser Permanente Setting Professional Modifier None Typical Low $134.90 Median $158.49 Typical High $194.98 | Professional | None | $134.90 | $158.49 | $194.98 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $79.43 Typical High $95.50 | Professional | 26 · Professional part | $66.07 | $79.43 | $95.50 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $79.43 Typical High $100.00 | Professional | TC · Technical part | $66.07 | $79.43 | $100.00 |
Moda Health Setting Facility Modifier None Typical Low $93.33 Median $131.83 Typical High $144.54 | Facility | None | $93.33 | $131.83 | $144.54 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $77.62 Median $93.33 Typical High $144.54 | Professional | None (both parts) | $77.62 | $93.33 | $144.54 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $47.86 Typical High $77.62 | Professional | 26 · Professional part | $39.81 | $47.86 | $77.62 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $44.67 Typical High $72.44 | Professional | TC · Technical part | $37.15 | $44.67 | $72.44 |
Pacific Source Setting Facility Modifier None Typical Low $41.69 Median $69.18 Typical High $138.04 | Facility | None | $41.69 | $69.18 | $138.04 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $30.90 Median $54.95 Typical High $69.18 | Professional | None (both parts) | $30.90 | $54.95 | $69.18 |
Providence Setting Facility Modifier None Typical Low $93.33 Median $134.90 Typical High $181.97 | Facility | None | $93.33 | $134.90 | $181.97 |
Providence Setting Professional Modifier None (both parts) Typical Low $72.44 Median $107.15 Typical High $190.55 | Professional | None (both parts) | $72.44 | $107.15 | $190.55 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $47.86 Typical High $89.13 | Professional | 26 · Professional part | $35.48 | $47.86 | $89.13 |
Providence Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $38.02 Typical High $83.18 | Professional | TC · Technical part | $30.90 | $38.02 | $83.18 |
Regence BlueShield Setting Facility Modifier None Typical Low $107.15 Median $131.83 Typical High $162.18 | Facility | None | $107.15 | $131.83 | $162.18 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $128.82 Median $131.83 Typical High $138.04 | Professional | None (both parts) | $128.82 | $131.83 | $138.04 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $66.07 Typical High $69.18 | Professional | 26 · Professional part | $64.57 | $66.07 | $69.18 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $66.07 Typical High $69.18 | Professional | TC · Technical part | $64.57 | $66.07 | $69.18 |
United Setting Facility Modifier None Typical Low $117.49 Median $147.91 Typical High $181.97 | Facility | None | $117.49 | $147.91 | $181.97 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $125.89 Typical High $223.87 | Professional | None (both parts) | $93.33 | $125.89 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $74.13 Typical High $112.20 | Professional | 26 · Professional part | $53.70 | $74.13 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $54.95 Typical High $102.33 | Professional | TC · Technical part | $39.81 | $54.95 | $102.33 |
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 $40.74 Median $45.71 Typical High $45.71 | Professional | 52 · Reduced service | $40.74 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $18.62 Typical High $18.62 | Professional | 53 · Discontinued | $16.22 | $18.62 | $18.62 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 52 · Reduced service | $45.71 | $45.71 | $45.71 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | 53 · Discontinued | $18.62 | $18.62 | $18.62 |
Where Oregon sits
The same service costs 3.3 times more in Alaska 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· 10th of 51
$117
AK $162UT $48.98
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.