How much rates vary
Facilitymedian $71 · 10th to 90th $45 to $813Professionalmedian $107 · 10th to 90th $68 to $158
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 $100.00 Median $120.23 Typical High $147.91 | Facility | None | $100.00 | $120.23 | $147.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $81.28 Typical High $100.00 | Professional | None (both parts) | $64.57 | $81.28 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $36.31 Typical High $39.81 | Professional | 26 · Professional part | $29.51 | $36.31 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $44.67 Typical High $51.29 | Professional | TC · Technical part | $34.67 | $44.67 | $51.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $95.50 Typical High $162.18 | Professional | None (both parts) | $66.07 | $95.50 | $162.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $38.90 Typical High $70.79 | Professional | 26 · Professional part | $26.92 | $38.90 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $56.23 Typical High $93.33 | Professional | TC · Technical part | $37.15 | $56.23 | $93.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $131.83 Median $151.36 Typical High $199.53 | Professional | None | $131.83 | $151.36 | $199.53 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $61.66 Typical High $77.62 | Professional | 26 · Professional part | $53.70 | $61.66 | $77.62 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $89.13 Typical High $120.23 | Professional | TC · Technical part | $77.62 | $89.13 | $120.23 |
Moda Health Setting Facility Modifier None Typical Low $112.20 Median $812.83 Typical High $1,778.28 | Facility | None | $112.20 | $812.83 | $1,778.28 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $77.62 Median $83.18 Typical High $144.54 | Professional | None (both parts) | $77.62 | $83.18 | $144.54 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $36.31 Typical High $75.86 | Professional | 26 · Professional part | $32.36 | $36.31 | $75.86 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $45.71 Typical High $85.11 | Professional | TC · Technical part | $42.66 | $45.71 | $85.11 |
Pacific Source Setting Facility Modifier None Typical Low $39.81 Median $60.26 Typical High $125.89 | Facility | None | $39.81 | $60.26 | $125.89 |
Providence Setting Facility Modifier None Typical Low $83.18 Median $128.82 Typical High $162.18 | Facility | None | $83.18 | $128.82 | $162.18 |
Providence Setting Professional Modifier None (both parts) Typical Low $66.07 Median $100.00 Typical High $177.83 | Professional | None (both parts) | $66.07 | $100.00 | $177.83 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $40.74 Typical High $79.43 | Professional | 26 · Professional part | $28.18 | $40.74 | $79.43 |
Providence Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $56.23 Typical High $104.71 | Professional | TC · Technical part | $37.15 | $56.23 | $104.71 |
Regence BlueShield Setting Facility Modifier None Typical Low $758.58 Median $1,071.52 Typical High $1,230.27 | Facility | None | $758.58 | $1,071.52 | $1,230.27 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $117.49 Median $120.23 Typical High $125.89 | Professional | None (both parts) | $117.49 | $120.23 | $125.89 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $51.29 Typical High $53.70 | Professional | 26 · Professional part | $50.12 | $51.29 | $53.70 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $69.18 Typical High $72.44 | Professional | TC · Technical part | $66.07 | $69.18 | $72.44 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,479.11 Typical High $1,819.70 | Facility | None | $1,174.90 | $1,479.11 | $1,819.70 |
United Setting Professional Modifier None (both parts) Typical Low $83.18 Median $104.71 Typical High $181.97 | Professional | None (both parts) | $83.18 | $104.71 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $51.29 Typical High $83.18 | Professional | 26 · Professional part | $39.81 | $51.29 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $54.95 Typical High $97.72 | Professional | TC · Technical part | $43.65 | $54.95 | $97.72 |
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 $34.67 Median $40.74 Typical High $40.74 | Professional | 52 · Reduced service | $34.67 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $16.22 Typical High $16.22 | Professional | 53 · Discontinued | $13.80 | $16.22 | $16.22 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | 52 · Reduced service | $40.74 | $40.74 | $40.74 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | 53 · Discontinued | $16.22 | $16.22 | $16.22 |
Where Oregon sits
The same service costs 3.6 times more in Minnesota than in Texas. 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
$107
MN $141TX $38.90
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.