How much rates vary
Facilitymedian $209 · 10th to 90th $45 to $355Professionalmedian $324 · 10th to 90th $209 to $457
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 $177.83 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $177.83 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $36.31 Typical High $36.31 | Professional | 26 · Professional part | $28.18 | $36.31 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $173.78 Typical High $177.83 | Professional | TC · Technical part | $147.91 | $173.78 | $177.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $275.42 Typical High $524.81 | Professional | None (both parts) | $173.78 | $275.42 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $47.86 Typical High $83.18 | Professional | 26 · Professional part | $33.11 | $47.86 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $223.87 Typical High $446.68 | Professional | TC · Technical part | $141.25 | $223.87 | $446.68 |
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 $52.48 Median $64.57 Typical High $74.13 | Professional | 26 · Professional part | $52.48 | $64.57 | $74.13 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $302.00 Typical High $363.08 | Professional | TC · Technical part | $239.88 | $302.00 | $363.08 |
Moda Health Setting Facility Modifier None Typical Low $208.93 Median $338.84 Typical High $478.63 | Facility | None | $208.93 | $338.84 | $478.63 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $177.83 Median $208.93 Typical High $363.08 | Professional | None (both parts) | $177.83 | $208.93 | $363.08 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $36.31 Typical High $58.88 | Professional | 26 · Professional part | $29.51 | $36.31 | $58.88 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $173.78 Typical High $309.03 | Professional | TC · Technical part | $144.54 | $173.78 | $309.03 |
Pacific Source Setting Facility Modifier None Typical Low $44.67 Median $204.17 Typical High $302.00 | Facility | None | $44.67 | $204.17 | $302.00 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $32.36 Median $37.15 Typical High $125.89 | Professional | None (both parts) | $32.36 | $37.15 | $125.89 |
Providence Setting Facility Modifier None Typical Low $186.21 Median $338.84 Typical High $478.63 | Facility | None | $186.21 | $338.84 | $478.63 |
Providence Setting Professional Modifier None (both parts) Typical Low $204.17 Median $323.59 Typical High $512.86 | Professional | None (both parts) | $204.17 | $323.59 | $512.86 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $51.29 Typical High $79.43 | Professional | 26 · Professional part | $35.48 | $51.29 | $79.43 |
Providence Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $257.04 Typical High $436.52 | Professional | TC · Technical part | $151.36 | $257.04 | $436.52 |
Regence BlueShield Setting Facility Modifier None Typical Low $758.58 Median $1,071.52 Typical High $1,230.27 | Facility | None | $758.58 | $1,071.52 | $1,230.27 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $323.59 Median $338.84 Typical High $354.81 | Professional | None (both parts) | $323.59 | $338.84 | $354.81 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $52.48 Typical High $56.23 | Professional | 26 · Professional part | $50.12 | $52.48 | $56.23 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $281.84 Typical High $302.00 | Professional | TC · Technical part | $275.42 | $281.84 | $302.00 |
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 $181.97 Median $295.12 Typical High $524.81 | Professional | None (both parts) | $181.97 | $295.12 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $56.23 Typical High $89.13 | Professional | 26 · Professional part | $37.15 | $56.23 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $239.88 Typical High $436.52 | Professional | TC · Technical part | $144.54 | $239.88 | $436.52 |
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 $89.13 Median $104.71 Typical High $104.71 | Professional | 52 · Reduced service | $89.13 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $41.69 Typical High $41.69 | Professional | 53 · Discontinued | $35.48 | $41.69 | $41.69 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $102.33 Median $104.71 Typical High $104.71 | Professional | 52 · Reduced service | $102.33 | $104.71 | $104.71 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $41.69 Typical High $41.69 | Professional | 53 · Discontinued | $40.74 | $41.69 | $41.69 |
Where Oregon sits
The same service costs 2.9 times more in Alaska than in New Mexico. 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· 4th of 51
$288
AK $347NM $120
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.