How much rates vary
Facilitymedian $141 · 10th to 90th $22 to $468Professionalmedian $158 · 10th to 90th $105 to $240
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 $112.20 Median $165.96 Typical High $223.87 | Facility | None | $112.20 | $165.96 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $112.20 Typical High $173.78 | Professional | None (both parts) | $93.33 | $112.20 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $15.49 Typical High $21.38 | Professional | 26 · Professional part | $11.48 | $15.49 | $21.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $97.72 Typical High $158.49 | Professional | TC · Technical part | $81.28 | $97.72 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $398.11 Typical High $478.63 | Facility | None | $275.42 | $398.11 | $478.63 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $144.54 Typical High $251.19 | Professional | None (both parts) | $112.20 | $144.54 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $19.05 Typical High $33.11 | Professional | 26 · Professional part | $14.45 | $19.05 | $33.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $125.89 Typical High $218.78 | Professional | TC · Technical part | $97.72 | $125.89 | $218.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $162.18 Median $190.55 Typical High $239.88 | Professional | None | $162.18 | $190.55 | $239.88 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $26.30 Typical High $30.90 | Professional | 26 · Professional part | $21.88 | $26.30 | $30.90 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $165.96 Typical High $208.93 | Professional | TC · Technical part | $138.04 | $165.96 | $208.93 |
Moda Health Setting Facility Modifier None Typical Low $162.18 Median $436.52 Typical High $758.58 | Facility | None | $162.18 | $436.52 | $758.58 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $120.23 Median $288.40 Typical High $676.08 | Facility | TC · Technical part | $120.23 | $288.40 | $676.08 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $85.11 Median $138.04 Typical High $229.09 | Professional | None (both parts) | $85.11 | $138.04 | $229.09 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $16.60 Typical High $36.31 | Professional | 26 · Professional part | $11.48 | $16.60 | $36.31 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $109.65 Typical High $190.55 | Professional | TC · Technical part | $83.18 | $109.65 | $190.55 |
Pacific Source Setting Facility Modifier None Typical Low $19.05 Median $123.03 Typical High $169.82 | Facility | None | $19.05 | $123.03 | $169.82 |
Providence Setting Facility Modifier None Typical Low $100.00 Median $239.88 Typical High $398.11 | Facility | None | $100.00 | $239.88 | $398.11 |
Providence Setting Professional Modifier None (both parts) Typical Low $125.89 Median $169.82 Typical High $239.88 | Professional | None (both parts) | $125.89 | $169.82 | $239.88 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $22.39 Typical High $33.88 | Professional | 26 · Professional part | $16.60 | $22.39 | $33.88 |
Providence Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $144.54 Typical High $208.93 | Professional | TC · Technical part | $109.65 | $144.54 | $208.93 |
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 $158.49 Median $165.96 Typical High $223.87 | Professional | None (both parts) | $158.49 | $165.96 | $223.87 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $23.44 Typical High $32.36 | Professional | 26 · Professional part | $21.88 | $23.44 | $32.36 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $141.25 Typical High $190.55 | Professional | TC · Technical part | $134.90 | $141.25 | $190.55 |
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 $87.10 Median $158.49 Typical High $251.19 | Professional | None (both parts) | $87.10 | $158.49 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $22.91 Typical High $38.02 | Professional | 26 · Professional part | $12.88 | $22.91 | $38.02 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $138.04 Typical High $213.80 | Professional | TC · Technical part | $74.13 | $138.04 | $213.80 |
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 $42.66 Median $56.23 Typical High $56.23 | Professional | 52 · Reduced service | $42.66 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $22.39 Typical High $22.39 | Professional | 53 · Discontinued | $16.98 | $22.39 | $22.39 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $56.23 Typical High $56.23 | Professional | 52 · Reduced service | $37.15 | $56.23 | $56.23 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $22.39 Typical High $22.39 | Professional | 53 · Discontinued | $18.20 | $22.39 | $22.39 |
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· 7th of 51
$158
AK $209UT $63.10
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.