How much rates vary
Facilitymedian $174 · 10th to 90th $132 to $339Professionalmedian $331 · 10th to 90th $229 to $912
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 $190.55 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $190.55 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $117.49 Typical High $138.04 | Professional | 26 · Professional part | $87.10 | $117.49 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $120.23 Typical High $125.89 | Professional | TC · Technical part | $97.72 | $120.23 | $125.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $288.40 Typical High $489.78 | Professional | None (both parts) | $229.09 | $288.40 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $141.25 Typical High $234.42 | Professional | 26 · Professional part | $117.49 | $141.25 | $234.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $147.91 Typical High $251.19 | Professional | TC · Technical part | $114.82 | $147.91 | $251.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $331.13 Median $389.05 Typical High $478.63 | Professional | None | $331.13 | $389.05 | $478.63 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $194.98 Typical High $234.42 | Professional | 26 · Professional part | $162.18 | $194.98 | $234.42 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $194.98 Typical High $245.47 | Professional | TC · Technical part | $165.96 | $194.98 | $245.47 |
Moda Health Setting Facility Modifier None Typical Low $194.98 Median $239.88 Typical High $446.68 | Facility | None | $194.98 | $239.88 | $446.68 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $190.55 Median $234.42 Typical High $257.04 | Professional | None (both parts) | $190.55 | $234.42 | $257.04 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $128.82 Typical High $263.03 | Professional | 26 · Professional part | $97.72 | $128.82 | $263.03 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $120.23 Typical High $134.90 | Professional | TC · Technical part | $102.33 | $120.23 | $134.90 |
Pacific Source Setting Facility Modifier None Typical Low $131.83 Median $169.82 Typical High $338.84 | Facility | None | $131.83 | $169.82 | $338.84 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $169.82 | Professional | None (both parts) | $165.96 | $165.96 | $169.82 |
Providence Setting Facility Modifier None Typical Low $194.98 Median $239.88 Typical High $446.68 | Facility | None | $194.98 | $239.88 | $446.68 |
Providence Setting Professional Modifier None (both parts) Typical Low $245.47 Median $426.58 Typical High $2,238,721.14 | Professional | None (both parts) | $245.47 | $426.58 | $2,238,721.14 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $162.18 Typical High $234.42 | Professional | 26 · Professional part | $123.03 | $162.18 | $234.42 |
Providence Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $151.36 Typical High $251.19 | Professional | TC · Technical part | $128.82 | $151.36 | $251.19 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $323.59 Median $346.74 Typical High $478.63 | Professional | None (both parts) | $323.59 | $346.74 | $478.63 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $173.78 Typical High $239.88 | Professional | 26 · Professional part | $162.18 | $173.78 | $239.88 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $173.78 Typical High $239.88 | Professional | TC · Technical part | $162.18 | $173.78 | $239.88 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $489.78 Typical High $776.25 | Professional | None (both parts) | $269.15 | $489.78 | $776.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $169.82 Typical High $275.42 | Professional | 26 · Professional part | $93.33 | $169.82 | $275.42 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $316.23 Typical High $524.81 | Professional | TC · Technical part | $173.78 | $316.23 | $524.81 |
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 $89.13 Median $117.49 Typical High $117.49 | Professional | 52 · Reduced service | $89.13 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $46.77 Typical High $46.77 | Professional | 53 · Discontinued | $36.31 | $46.77 | $46.77 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $95.50 Median $117.49 Typical High $117.49 | Professional | 52 · Reduced service | $95.50 | $117.49 | $117.49 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $46.77 Typical High $46.77 | Professional | 53 · Discontinued | $38.02 | $46.77 | $46.77 |
Where Oregon sits
The same service costs 3.1 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· 15th of 51
$316
AK $537NY $174
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.