How much rates vary
Facilitymedian $200 · 10th to 90th $43 to $324Professionalmedian $288 · 10th to 90th $191 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 $158.49 Median $190.55 Typical High $190.55 | Professional | None (both parts) | $158.49 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $35.48 Typical High $35.48 | Professional | 26 · Professional part | $28.84 | $35.48 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $158.49 Typical High $158.49 | Professional | TC · Technical part | $131.83 | $158.49 | $158.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $257.04 Typical High $489.78 | Professional | None (both parts) | $158.49 | $257.04 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $46.77 Typical High $79.43 | Professional | 26 · Professional part | $32.36 | $46.77 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $208.93 Typical High $398.11 | Professional | TC · Technical part | $128.82 | $208.93 | $398.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $263.03 Median $331.13 Typical High $389.05 | Professional | None | $263.03 | $331.13 | $389.05 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $61.66 Typical High $70.79 | Professional | 26 · Professional part | $50.12 | $61.66 | $70.79 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $269.15 Typical High $323.59 | Professional | TC · Technical part | $213.80 | $269.15 | $323.59 |
Moda Health Setting Facility Modifier None Typical Low $190.55 Median $331.13 Typical High $457.09 | Facility | None | $190.55 | $331.13 | $457.09 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $177.83 Median $190.55 Typical High $346.74 | Professional | None (both parts) | $177.83 | $190.55 | $346.74 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $60.26 | Professional | 26 · Professional part | $35.48 | $35.48 | $60.26 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $158.49 Typical High $275.42 | Professional | TC · Technical part | $131.83 | $158.49 | $275.42 |
Pacific Source Setting Facility Modifier None Typical Low $42.66 Median $190.55 Typical High $275.42 | Facility | None | $42.66 | $190.55 | $275.42 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $56.23 Median $56.23 Typical High $218.78 | Professional | None (both parts) | $56.23 | $56.23 | $218.78 |
Providence Setting Facility Modifier None Typical Low $165.96 Median $331.13 Typical High $457.09 | Facility | None | $165.96 | $331.13 | $457.09 |
Providence Setting Professional Modifier None (both parts) Typical Low $194.98 Median $288.40 Typical High $467.74 | Professional | None (both parts) | $194.98 | $288.40 | $467.74 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $51.29 Typical High $77.62 | Professional | 26 · Professional part | $34.67 | $51.29 | $77.62 |
Providence Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $234.42 Typical High $380.19 | Professional | TC · Technical part | $141.25 | $234.42 | $380.19 |
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 $288.40 Median $302.00 Typical High $316.23 | Professional | None (both parts) | $288.40 | $302.00 | $316.23 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $51.29 Typical High $53.70 | Professional | 26 · Professional part | $48.98 | $51.29 | $53.70 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $251.19 Typical High $263.03 | Professional | TC · Technical part | $239.88 | $251.19 | $263.03 |
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 $173.78 Median $275.42 Typical High $489.78 | Professional | None (both parts) | $173.78 | $275.42 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $54.95 Typical High $87.10 | Professional | 26 · Professional part | $35.48 | $54.95 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $218.78 Typical High $398.11 | Professional | TC · Technical part | $138.04 | $218.78 | $398.11 |
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 $95.50 Typical High $95.50 | Professional | 52 · Reduced service | $83.18 | $95.50 | $95.50 |
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 $89.13 Median $95.50 Typical High $95.50 | Professional | 52 · Reduced service | $89.13 | $95.50 | $95.50 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $38.90 Typical High $38.90 | Professional | 53 · Discontinued | $35.48 | $38.90 | $38.90 |
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· 7th of 51
$257
AK $324TX $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.