How much rates vary
Facilitymedian $155 · 10th to 90th $76 to $324Professionalmedian $234 · 10th to 90th $166 to $355
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 $173.78 Typical High $181.97 | Professional | None (both parts) | $141.25 | $173.78 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $57.54 Typical High $57.54 | Professional | 26 · Professional part | $45.71 | $57.54 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $114.82 Typical High $123.03 | Professional | TC · Technical part | $93.33 | $114.82 | $123.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $218.78 Typical High $371.54 | Professional | None (both parts) | $154.88 | $218.78 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $77.62 Typical High $134.90 | Professional | 26 · Professional part | $54.95 | $77.62 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $144.54 Typical High $239.88 | Professional | TC · Technical part | $100.00 | $144.54 | $239.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $234.42 Median $295.12 Typical High $346.74 | Professional | None | $234.42 | $295.12 | $346.74 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $102.33 Typical High $120.23 | Professional | 26 · Professional part | $85.11 | $102.33 | $120.23 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $190.55 Typical High $229.09 | Professional | TC · Technical part | $151.36 | $190.55 | $229.09 |
Moda Health Setting Facility Modifier None Typical Low $173.78 Median $316.23 Typical High $467.74 | Facility | None | $173.78 | $316.23 | $467.74 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $147.91 Median $173.78 Typical High $371.54 | Professional | None (both parts) | $147.91 | $173.78 | $371.54 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $57.54 Typical High $100.00 | Professional | 26 · Professional part | $46.77 | $57.54 | $100.00 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $114.82 Typical High $177.83 | Professional | TC · Technical part | $97.72 | $114.82 | $177.83 |
Pacific Source Setting Facility Modifier None Typical Low $72.44 Median $147.91 Typical High $257.04 | Facility | None | $72.44 | $147.91 | $257.04 |
Providence Setting Facility Modifier None Typical Low $147.91 Median $316.23 Typical High $446.68 | Facility | None | $147.91 | $316.23 | $446.68 |
Providence Setting Professional Modifier None (both parts) Typical Low $165.96 Median $245.47 Typical High $389.05 | Professional | None (both parts) | $165.96 | $245.47 | $389.05 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $85.11 Typical High $128.82 | Professional | 26 · Professional part | $57.54 | $85.11 | $128.82 |
Providence Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $158.49 Typical High $275.42 | Professional | TC · Technical part | $107.15 | $158.49 | $275.42 |
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 $223.87 Median $234.42 Typical High $257.04 | Professional | None (both parts) | $223.87 | $234.42 | $257.04 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $83.18 Typical High $89.13 | Professional | 26 · Professional part | $81.28 | $83.18 | $89.13 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $147.91 Typical High $169.82 | Professional | TC · Technical part | $144.54 | $147.91 | $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 $165.96 Median $275.42 Typical High $407.38 | Professional | None (both parts) | $165.96 | $275.42 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $91.20 Typical High $141.25 | Professional | 26 · Professional part | $58.88 | $91.20 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $177.83 Typical High $257.04 | Professional | TC · Technical part | $104.71 | $177.83 | $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 $69.18 Median $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $69.18 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $27.54 | $34.67 | $34.67 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $83.18 | $85.11 | $85.11 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $33.11 | $34.67 | $34.67 |
Where Oregon sits
The same service costs 3.2 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
$224
AK $302TX $93.33
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.