How much rates vary
Facilitymedian $95 · 10th to 90th $30 to $302Professionalmedian $129 · 10th to 90th $89 to $209
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 $75.86 Median $89.13 Typical High $151.36 | Professional | None (both parts) | $75.86 | $89.13 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $23.99 Typical High $23.99 | Professional | 26 · Professional part | $18.20 | $23.99 | $23.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $64.57 Typical High $125.89 | Professional | TC · Technical part | $54.95 | $64.57 | $125.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $125.89 Typical High $229.09 | Professional | None (both parts) | $95.50 | $125.89 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $32.36 Typical High $54.95 | Professional | 26 · Professional part | $22.39 | $32.36 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $93.33 Typical High $177.83 | Professional | TC · Technical part | $70.79 | $93.33 | $177.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $131.83 Median $165.96 Typical High $194.98 | Professional | None | $131.83 | $165.96 | $194.98 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $42.66 Typical High $50.12 | Professional | 26 · Professional part | $34.67 | $42.66 | $50.12 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $120.23 Typical High $144.54 | Professional | TC · Technical part | $95.50 | $120.23 | $144.54 |
Moda Health Setting Facility Modifier None Typical Low $89.13 Median $288.40 Typical High $436.52 | Facility | None | $89.13 | $288.40 | $436.52 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $245.47 | Professional | None (both parts) | $89.13 | $89.13 | $245.47 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $23.99 Typical High $41.69 | Professional | 26 · Professional part | $18.62 | $23.99 | $41.69 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $64.57 Typical High $144.54 | Professional | TC · Technical part | $58.88 | $64.57 | $144.54 |
Pacific Source Setting Facility Modifier None Typical Low $29.51 Median $91.20 Typical High $208.93 | Facility | None | $29.51 | $91.20 | $208.93 |
Providence Setting Facility Modifier None Typical Low $81.28 Median $288.40 Typical High $436.52 | Facility | None | $81.28 | $288.40 | $436.52 |
Providence Setting Professional Modifier None (both parts) Typical Low $93.33 Median $144.54 Typical High $234.42 | Professional | None (both parts) | $93.33 | $144.54 | $234.42 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $34.67 Typical High $52.48 | Professional | 26 · Professional part | $23.44 | $34.67 | $52.48 |
Providence Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $123.03 Typical High $223.87 | Professional | TC · Technical part | $67.61 | $123.03 | $223.87 |
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 $125.89 Median $128.82 Typical High $141.25 | Professional | None (both parts) | $125.89 | $128.82 | $141.25 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $34.67 Typical High $36.31 | Professional | 26 · Professional part | $33.11 | $34.67 | $36.31 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $93.33 Typical High $104.71 | Professional | TC · Technical part | $91.20 | $93.33 | $104.71 |
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 $102.33 Median $151.36 Typical High $229.09 | Professional | None (both parts) | $102.33 | $151.36 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $37.15 Typical High $58.88 | Professional | 26 · Professional part | $23.99 | $37.15 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $112.20 Typical High $194.98 | Professional | TC · Technical part | $74.13 | $112.20 | $194.98 |
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 $38.02 Median $44.67 Typical High $44.67 | Professional | 52 · Reduced service | $38.02 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $17.78 Typical High $17.78 | Professional | 53 · Discontinued | $15.14 | $17.78 | $17.78 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 52 · Reduced service | $44.67 | $44.67 | $44.67 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | 53 · Discontinued | $17.78 | $17.78 | $17.78 |
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· 10th of 51
$129
AK $162TX $51.29
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.