How much rates vary
Facilitymedian $107 · 10th to 90th $46 to $209Professionalmedian $191 · 10th to 90th $112 to $288
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 $70.79 Median $138.04 Typical High $138.04 | Professional | None (both parts) | $70.79 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $34.67 | $43.65 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $93.33 Typical High $93.33 | Professional | TC · Technical part | $36.31 | $93.33 | $93.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $177.83 Typical High $316.23 | Professional | None (both parts) | $109.65 | $177.83 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $60.26 Typical High $102.33 | Professional | 26 · Professional part | $40.74 | $60.26 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $120.23 Typical High $213.80 | Professional | TC · Technical part | $64.57 | $120.23 | $213.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $204.17 Median $257.04 Typical High $302.00 | Professional | None | $204.17 | $257.04 | $302.00 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $81.28 Typical High $93.33 | Professional | 26 · Professional part | $66.07 | $81.28 | $93.33 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $177.83 Typical High $213.80 | Professional | TC · Technical part | $141.25 | $177.83 | $213.80 |
Moda Health Setting Facility Modifier None Typical Low $138.04 Median $194.98 Typical High $199.53 | Facility | None | $138.04 | $194.98 | $199.53 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $83.18 Median $138.04 Typical High $239.88 | Professional | None (both parts) | $83.18 | $138.04 | $239.88 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $43.65 Typical High $77.62 | Professional | 26 · Professional part | $35.48 | $43.65 | $77.62 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $93.33 Typical High $158.49 | Professional | TC · Technical part | $36.31 | $93.33 | $158.49 |
Pacific Source Setting Facility Modifier None Typical Low $40.74 Median $89.13 Typical High $186.21 | Facility | None | $40.74 | $89.13 | $186.21 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $54.95 Median $60.26 Typical High $100.00 | Professional | None (both parts) | $54.95 | $60.26 | $100.00 |
Providence Setting Facility Modifier None Typical Low $128.82 Median $181.97 Typical High $269.15 | Facility | None | $128.82 | $181.97 | $269.15 |
Providence Setting Professional Modifier None (both parts) Typical Low $114.82 Median $190.55 Typical High $302.00 | Professional | None (both parts) | $114.82 | $190.55 | $302.00 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $63.10 Typical High $97.72 | Professional | 26 · Professional part | $42.66 | $63.10 | $97.72 |
Providence Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $117.49 Typical High $204.17 | Professional | TC · Technical part | $50.12 | $117.49 | $204.17 |
Regence BlueShield Setting Facility Modifier None Typical Low $407.38 Median $549.54 Typical High $630.96 | Facility | None | $407.38 | $549.54 | $630.96 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $190.55 Median $199.53 Typical High $208.93 | Professional | None (both parts) | $190.55 | $199.53 | $208.93 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $64.57 Typical High $67.61 | Professional | 26 · Professional part | $61.66 | $64.57 | $67.61 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $134.90 Typical High $141.25 | Professional | TC · Technical part | $128.82 | $134.90 | $141.25 |
United Setting Facility Modifier None Typical Low $407.38 Median $512.86 Typical High $630.96 | Facility | None | $407.38 | $512.86 | $630.96 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $186.21 Typical High $338.84 | Professional | None (both parts) | $104.71 | $186.21 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $69.18 Typical High $109.65 | Professional | 26 · Professional part | $45.71 | $69.18 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $117.49 Typical High $229.09 | Professional | TC · Technical part | $66.07 | $117.49 | $229.09 |
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 $56.23 Median $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $56.23 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $27.54 Typical High $27.54 | Professional | 53 · Discontinued | $22.39 | $27.54 | $27.54 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $60.26 Median $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $60.26 | $69.18 | $69.18 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $27.54 Typical High $27.54 | Professional | 53 · Discontinued | $23.99 | $27.54 | $27.54 |
Where Oregon sits
The same service costs 3.5 times more in Alaska than in Kentucky. 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· 6th of 51
$170
AK $229KY $64.57
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.