How much rates vary
Facilitymedian $162 · 10th to 90th $95 to $331Professionalmedian $302 · 10th to 90th $195 to $437
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 $141.25 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $141.25 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $104.71 Typical High $104.71 | Professional | 26 · Professional part | $83.18 | $104.71 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $120.23 Typical High $120.23 | Professional | TC · Technical part | $60.26 | $120.23 | $120.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $275.42 Typical High $489.78 | Professional | None (both parts) | $190.55 | $275.42 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $141.25 Typical High $245.47 | Professional | 26 · Professional part | $97.72 | $141.25 | $245.47 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $141.25 Typical High $245.47 | Professional | TC · Technical part | $85.11 | $141.25 | $245.47 |
Kaiser Permanente Setting Professional Modifier None Typical Low $316.23 Median $398.11 Typical High $457.09 | Professional | None | $316.23 | $398.11 | $457.09 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $190.55 Typical High $223.87 | Professional | 26 · Professional part | $154.88 | $190.55 | $223.87 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $194.98 Typical High $234.42 | Professional | TC · Technical part | $154.88 | $194.98 | $234.42 |
Moda Health Setting Facility Modifier None Typical Low $223.87 Median $323.59 Typical High $416.87 | Facility | None | $223.87 | $323.59 | $416.87 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $158.49 Median $223.87 Typical High $354.81 | Professional | None (both parts) | $158.49 | $223.87 | $354.81 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $104.71 Typical High $173.78 | Professional | 26 · Professional part | $83.18 | $104.71 | $173.78 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $120.23 Typical High $177.83 | Professional | TC · Technical part | $60.26 | $120.23 | $177.83 |
Pacific Source Setting Facility Modifier None Typical Low $95.50 Median $158.49 Typical High $323.59 | Facility | None | $95.50 | $158.49 | $323.59 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $208.93 | Professional | None (both parts) | $204.17 | $204.17 | $208.93 |
Providence Setting Facility Modifier None Typical Low $194.98 Median $281.84 Typical High $416.87 | Facility | None | $194.98 | $281.84 | $416.87 |
Providence Setting Professional Modifier None (both parts) Typical Low $208.93 Median $316.23 Typical High $467.74 | Professional | None (both parts) | $208.93 | $316.23 | $467.74 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $151.36 Typical High $234.42 | Professional | 26 · Professional part | $104.71 | $151.36 | $234.42 |
Providence Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $162.18 Typical High $234.42 | Professional | TC · Technical part | $83.18 | $162.18 | $234.42 |
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 $295.12 Median $302.00 Typical High $331.13 | Professional | None (both parts) | $295.12 | $302.00 | $331.13 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $151.36 Typical High $162.18 | Professional | 26 · Professional part | $147.91 | $151.36 | $162.18 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $151.36 Typical High $169.82 | Professional | TC · Technical part | $147.91 | $151.36 | $169.82 |
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 $213.80 Median $338.84 Typical High $512.86 | Professional | None (both parts) | $213.80 | $338.84 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $165.96 Typical High $257.04 | Professional | 26 · Professional part | $107.15 | $165.96 | $257.04 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $173.78 Typical High $257.04 | Professional | TC · Technical part | $100.00 | $173.78 | $257.04 |
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 $87.10 Median $112.20 Typical High $112.20 | Professional | 52 · Reduced service | $87.10 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $44.67 Typical High $44.67 | Professional | 53 · Discontinued | $34.67 | $44.67 | $44.67 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $112.20 Typical High $112.20 | Professional | 52 · Reduced service | $93.33 | $112.20 | $112.20 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $44.67 Typical High $44.67 | Professional | 53 · Discontinued | $38.02 | $44.67 | $44.67 |
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
$295
AK $398TX $102
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.