How much rates vary
Facilitymedian $81 · 10th to 90th $42 to $155Professionalmedian $132 · 10th to 90th $81 to $191
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 $104.71 Median $181.97 Typical High $181.97 | Facility | None | $104.71 | $181.97 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $104.71 Typical High $141.25 | Professional | None (both parts) | $66.07 | $104.71 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $50.12 Typical High $60.26 | Professional | 26 · Professional part | $38.90 | $50.12 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $54.95 Typical High $74.13 | Professional | TC · Technical part | $23.44 | $54.95 | $74.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $85.11 Typical High $199.53 | Professional | None (both parts) | $81.28 | $85.11 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $41.69 Typical High $93.33 | Professional | 26 · Professional part | $36.31 | $41.69 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $45.71 Typical High $109.65 | Professional | TC · Technical part | $44.67 | $45.71 | $109.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $151.36 Median $177.83 Typical High $223.87 | Professional | None | $151.36 | $177.83 | $223.87 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $83.18 Typical High $100.00 | Professional | 26 · Professional part | $67.61 | $83.18 | $100.00 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $97.72 Typical High $123.03 | Professional | TC · Technical part | $81.28 | $97.72 | $123.03 |
Moda Health Setting Facility Modifier None Typical Low $39.81 Median $144.54 Typical High $229.09 | Facility | None | $39.81 | $144.54 | $229.09 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $77.62 Median $104.71 Typical High $181.97 | Professional | None (both parts) | $77.62 | $104.71 | $181.97 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $50.12 Typical High $107.15 | Professional | 26 · Professional part | $38.90 | $50.12 | $107.15 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $54.95 Typical High $89.13 | Professional | TC · Technical part | $28.84 | $54.95 | $89.13 |
Pacific Source Setting Facility Modifier None Typical Low $38.02 Median $74.13 Typical High $144.54 | Facility | None | $38.02 | $74.13 | $144.54 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $74.13 | Professional | None (both parts) | $50.12 | $50.12 | $74.13 |
Providence Setting Facility Modifier None Typical Low $104.71 Median $141.25 Typical High $204.17 | Facility | None | $104.71 | $141.25 | $204.17 |
Providence Setting Professional Modifier None (both parts) Typical Low $81.28 Median $114.82 Typical High $213.80 | Professional | None (both parts) | $81.28 | $114.82 | $213.80 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $53.70 Typical High $95.50 | Professional | 26 · Professional part | $36.31 | $53.70 | $95.50 |
Providence Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $44.67 Typical High $112.20 | Professional | TC · Technical part | $27.54 | $44.67 | $112.20 |
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 $144.54 Median $147.91 Typical High $158.49 | Professional | None (both parts) | $144.54 | $147.91 | $158.49 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $69.18 Typical High $72.44 | Professional | 26 · Professional part | $66.07 | $69.18 | $72.44 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $81.28 Typical High $85.11 | Professional | TC · Technical part | $77.62 | $81.28 | $85.11 |
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 $100.00 Median $138.04 Typical High $257.04 | Professional | None (both parts) | $100.00 | $138.04 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $77.62 Typical High $117.49 | Professional | 26 · Professional part | $56.23 | $77.62 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $61.66 Typical High $123.03 | Professional | TC · Technical part | $38.02 | $61.66 | $123.03 |
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 $45.71 Median $52.48 Typical High $52.48 | Professional | 52 · Reduced service | $45.71 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $20.89 Typical High $20.89 | Professional | 53 · Discontinued | $18.20 | $20.89 | $20.89 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 52 · Reduced service | $52.48 | $52.48 | $52.48 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | 53 · Discontinued | $20.89 | $20.89 | $20.89 |
Where Oregon sits
The same service costs 3.4 times more in Alaska than in New York. 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
$120
AK $182NY $53.70
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.