How much rates vary
Facilitymedian $170 · 10th to 90th $102 to $339Professionalmedian $282 · 10th to 90th $195 to $417
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 $154.88 Median $194.98 Typical High $194.98 | Professional | None (both parts) | $154.88 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $109.65 Typical High $109.65 | Professional | 26 · Professional part | $87.10 | $109.65 | $109.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $87.10 Typical High $87.10 | Professional | TC · Technical part | $67.61 | $87.10 | $87.10 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $263.03 Typical High $467.74 | Professional | None (both parts) | $177.83 | $263.03 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $147.91 Typical High $263.03 | Professional | 26 · Professional part | $104.71 | $147.91 | $263.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $117.49 Typical High $204.17 | Professional | TC · Technical part | $74.13 | $117.49 | $204.17 |
Kaiser Permanente Setting Professional Modifier None Typical Low $295.12 Median $371.54 Typical High $436.52 | Professional | None | $295.12 | $371.54 | $436.52 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $208.93 Typical High $239.88 | Professional | 26 · Professional part | $169.82 | $208.93 | $239.88 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $162.18 Typical High $194.98 | Professional | TC · Technical part | $128.82 | $162.18 | $194.98 |
Moda Health Setting Facility Modifier None Typical Low $194.98 Median $371.54 Typical High $741.31 | Facility | None | $194.98 | $371.54 | $741.31 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $173.78 Median $194.98 Typical High $316.23 | Professional | None (both parts) | $173.78 | $194.98 | $316.23 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $109.65 Typical High $204.17 | Professional | 26 · Professional part | $93.33 | $109.65 | $204.17 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $87.10 Typical High $165.96 | Professional | TC · Technical part | $70.79 | $87.10 | $165.96 |
Pacific Source Setting Facility Modifier None Typical Low $100.00 Median $165.96 Typical High $288.40 | Facility | None | $100.00 | $165.96 | $288.40 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $70.79 Median $114.82 Typical High $181.97 | Professional | None (both parts) | $70.79 | $114.82 | $181.97 |
Providence Setting Facility Modifier None Typical Low $181.97 Median $263.03 Typical High $389.05 | Facility | None | $181.97 | $263.03 | $389.05 |
Providence Setting Professional Modifier None (both parts) Typical Low $190.55 Median $288.40 Typical High $446.68 | Professional | None (both parts) | $190.55 | $288.40 | $446.68 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $162.18 Typical High $251.19 | Professional | 26 · Professional part | $112.20 | $162.18 | $251.19 |
Providence Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $120.23 Typical High $194.98 | Professional | TC · Technical part | $77.62 | $120.23 | $194.98 |
Regence BlueShield Setting Facility Modifier None Typical Low $426.58 Median $851.14 Typical High $1,230.27 | Facility | None | $426.58 | $851.14 | $1,230.27 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $281.84 Median $288.40 Typical High $309.03 | Professional | None (both parts) | $281.84 | $288.40 | $309.03 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $162.18 Typical High $173.78 | Professional | 26 · Professional part | $158.49 | $162.18 | $173.78 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $125.89 Typical High $131.83 | Professional | TC · Technical part | $123.03 | $125.89 | $131.83 |
United Setting Facility Modifier None Typical Low $691.83 Median $851.14 Typical High $1,071.52 | Facility | None | $691.83 | $851.14 | $1,071.52 |
United Setting Professional Modifier None (both parts) Typical Low $213.80 Median $295.12 Typical High $489.78 | Professional | None (both parts) | $213.80 | $295.12 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $173.78 Typical High $275.42 | Professional | 26 · Professional part | $125.89 | $173.78 | $275.42 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $123.03 Typical High $213.80 | Professional | TC · Technical part | $89.13 | $123.03 | $213.80 |
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 $83.18 Median $97.72 Typical High $97.72 | Professional | 52 · Reduced service | $83.18 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $38.90 Typical High $38.90 | Professional | 53 · Discontinued | $33.11 | $38.90 | $38.90 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $97.72 Typical High $97.72 | Professional | 52 · Reduced service | $87.10 | $97.72 | $97.72 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $38.90 Typical High $38.90 | Professional | 53 · Discontinued | $34.67 | $38.90 | $38.90 |
Where Oregon sits
The same service costs 3.6 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· 7th of 51
$275
AK $380TX $105
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.