How much rates vary
Facilitymedian $89 · 10th to 90th $52 to $162Professionalmedian $155 · 10th to 90th $110 to $234
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 $83.18 Median $114.82 Typical High $114.82 | Professional | None (both parts) | $83.18 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $47.86 Typical High $47.86 | Professional | 26 · Professional part | $38.02 | $47.86 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $69.18 Typical High $69.18 | Professional | TC · Technical part | $44.67 | $69.18 | $69.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $147.91 Typical High $257.04 | Professional | None (both parts) | $95.50 | $147.91 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $63.10 Typical High $109.65 | Professional | 26 · Professional part | $45.71 | $63.10 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $85.11 Typical High $144.54 | Professional | TC · Technical part | $52.48 | $85.11 | $144.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $169.82 Median $213.80 Typical High $251.19 | Professional | None | $169.82 | $213.80 | $251.19 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $87.10 Typical High $102.33 | Professional | 26 · Professional part | $70.79 | $87.10 | $102.33 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $125.89 Typical High $147.91 | Professional | TC · Technical part | $100.00 | $125.89 | $147.91 |
Moda Health Setting Facility Modifier None Typical Low $114.82 Median $194.98 Typical High $208.93 | Facility | None | $114.82 | $194.98 | $208.93 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $87.10 Median $114.82 Typical High $186.21 | Professional | None (both parts) | $87.10 | $114.82 | $186.21 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $47.86 Typical High $85.11 | Professional | 26 · Professional part | $38.02 | $47.86 | $85.11 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $69.18 Typical High $109.65 | Professional | TC · Technical part | $46.77 | $69.18 | $109.65 |
Pacific Source Setting Facility Modifier None Typical Low $52.48 Median $89.13 Typical High $162.18 | Facility | None | $52.48 | $89.13 | $162.18 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $58.88 Median $58.88 Typical High $74.13 | Professional | None (both parts) | $58.88 | $58.88 | $74.13 |
Providence Setting Facility Modifier None Typical Low $104.71 Median $194.98 Typical High $208.93 | Facility | None | $104.71 | $194.98 | $208.93 |
Providence Setting Professional Modifier None (both parts) Typical Low $109.65 Median $158.49 Typical High $245.47 | Professional | None (both parts) | $109.65 | $158.49 | $245.47 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $69.18 Typical High $104.71 | Professional | 26 · Professional part | $45.71 | $69.18 | $104.71 |
Providence Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $87.10 Typical High $138.04 | Professional | TC · Technical part | $58.88 | $87.10 | $138.04 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $151.36 Median $158.49 Typical High $169.82 | Professional | None (both parts) | $151.36 | $158.49 | $169.82 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $69.18 Typical High $74.13 | Professional | 26 · Professional part | $66.07 | $69.18 | $74.13 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $89.13 Typical High $95.50 | Professional | TC · Technical part | $87.10 | $89.13 | $95.50 |
United Setting Professional Modifier None (both parts) Typical Low $112.20 Median $169.82 Typical High $269.15 | Professional | None (both parts) | $112.20 | $169.82 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $75.86 Typical High $117.49 | Professional | 26 · Professional part | $53.70 | $75.86 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $93.33 Typical High $151.36 | Professional | TC · Technical part | $60.26 | $93.33 | $151.36 |
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 $45.71 Median $57.54 Typical High $57.54 | Professional | 52 · Reduced service | $45.71 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $23.44 Typical High $23.44 | Professional | 53 · Discontinued | $18.20 | $23.44 | $23.44 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $57.54 Typical High $57.54 | Professional | 52 · Reduced service | $48.98 | $57.54 | $57.54 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $23.44 Typical High $23.44 | Professional | 53 · Discontinued | $19.50 | $23.44 | $23.44 |
Where Oregon sits
The same service costs 3.0 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
$151
AK $204TX $67.61
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.