How much rates vary
Facilitymedian $120 · 10th to 90th $69 to $240Professionalmedian $214 · 10th to 90th $145 to $316
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 $100.00 Median $154.88 Typical High $154.88 | Professional | None (both parts) | $100.00 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $66.07 Typical High $66.07 | Professional | 26 · Professional part | $51.29 | $66.07 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $91.20 Typical High $91.20 | Professional | TC · Technical part | $47.86 | $91.20 | $91.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $194.98 Typical High $346.74 | Professional | None (both parts) | $134.90 | $194.98 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $89.13 Typical High $151.36 | Professional | 26 · Professional part | $61.66 | $89.13 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $112.20 Typical High $190.55 | Professional | TC · Technical part | $69.18 | $112.20 | $190.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $229.09 Median $288.40 Typical High $338.84 | Professional | None | $229.09 | $288.40 | $338.84 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $123.03 Typical High $141.25 | Professional | 26 · Professional part | $100.00 | $123.03 | $141.25 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $165.96 Typical High $199.53 | Professional | TC · Technical part | $131.83 | $165.96 | $199.53 |
Moda Health Setting Facility Modifier None Typical Low $154.88 Median $223.87 Typical High $295.12 | Facility | None | $154.88 | $223.87 | $295.12 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $114.82 Median $154.88 Typical High $257.04 | Professional | None (both parts) | $114.82 | $154.88 | $257.04 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $66.07 Typical High $109.65 | Professional | 26 · Professional part | $52.48 | $66.07 | $109.65 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $91.20 Typical High $144.54 | Professional | TC · Technical part | $54.95 | $91.20 | $144.54 |
Pacific Source Setting Facility Modifier None Typical Low $67.61 Median $112.20 Typical High $223.87 | Facility | None | $67.61 | $112.20 | $223.87 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $147.91 | Professional | None (both parts) | $120.23 | $120.23 | $147.91 |
Providence Setting Facility Modifier None Typical Low $144.54 Median $204.17 Typical High $295.12 | Facility | None | $144.54 | $204.17 | $295.12 |
Providence Setting Professional Modifier None (both parts) Typical Low $144.54 Median $218.78 Typical High $331.13 | Professional | None (both parts) | $144.54 | $218.78 | $331.13 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $93.33 Typical High $144.54 | Professional | 26 · Professional part | $64.57 | $93.33 | $144.54 |
Providence Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $125.89 Typical High $186.21 | Professional | TC · Technical part | $66.07 | $125.89 | $186.21 |
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 $208.93 Median $213.80 Typical High $229.09 | Professional | None (both parts) | $208.93 | $213.80 | $229.09 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $95.50 Typical High $100.00 | Professional | 26 · Professional part | $91.20 | $95.50 | $100.00 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $120.23 Typical High $131.83 | Professional | TC · Technical part | $114.82 | $120.23 | $131.83 |
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 $147.91 Median $239.88 Typical High $363.08 | Professional | None (both parts) | $147.91 | $239.88 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $104.71 Typical High $162.18 | Professional | 26 · Professional part | $67.61 | $104.71 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $134.90 Typical High $204.17 | Professional | TC · Technical part | $77.62 | $134.90 | $204.17 |
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 $63.10 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $63.10 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $25.12 | $31.62 | $31.62 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $64.57 | $77.62 | $77.62 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $25.70 | $31.62 | $31.62 |
Where Oregon sits
The same service costs 3.9 times more in Alaska 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· 8th of 51
$209
AK $282TX $72.44
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.