How much rates vary
Facilitymedian $191 · 10th to 90th $66 to $331Professionalmedian $302 · 10th to 90th $170 to $550
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 Facility Modifier None Typical Low $3,235.94 Median $5,011.87 Typical High $7,943.28 | Facility | None | $3,235.94 | $5,011.87 | $7,943.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $257.04 Typical High $316.23 | Professional | None (both parts) | $141.25 | $257.04 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $51.29 Typical High $63.10 | Professional | 26 · Professional part | $40.74 | $51.29 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $204.17 Typical High $257.04 | Professional | TC · Technical part | $97.72 | $204.17 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $660.69 Typical High $2,511.89 | Facility | None | $64.57 | $660.69 | $2,511.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $302.00 Typical High $549.54 | Professional | None (both parts) | $213.80 | $302.00 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $70.79 Typical High $112.20 | Professional | 26 · Professional part | $56.23 | $70.79 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $234.42 Typical High $436.52 | Professional | TC · Technical part | $177.83 | $234.42 | $436.52 |
Kaiser Permanente Setting Professional Modifier None Typical Low $302.00 Median $338.84 Typical High $426.58 | Professional | None | $302.00 | $338.84 | $426.58 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $85.11 Typical High $102.33 | Professional | 26 · Professional part | $74.13 | $85.11 | $102.33 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $257.04 Typical High $323.59 | Professional | TC · Technical part | $223.87 | $257.04 | $323.59 |
Moda Health Setting Facility Modifier None Typical Low $275.42 Median $371.54 Typical High $7,943.28 | Facility | None | $275.42 | $371.54 | $7,943.28 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $151.36 Median $257.04 Typical High $562.34 | Professional | None (both parts) | $151.36 | $257.04 | $562.34 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $60.26 Typical High $123.03 | Professional | 26 · Professional part | $39.81 | $60.26 | $123.03 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $208.93 Typical High $398.11 | Professional | TC · Technical part | $109.65 | $208.93 | $398.11 |
Pacific Source Setting Facility Modifier None Typical Low $64.57 Median $181.97 Typical High $323.59 | Facility | None | $64.57 | $181.97 | $323.59 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $218.78 | Professional | None (both parts) | $74.13 | $74.13 | $218.78 |
Providence Setting Facility Modifier None Typical Low $100.00 Median $295.12 Typical High $758.58 | Facility | None | $100.00 | $295.12 | $758.58 |
Providence Setting Professional Modifier None (both parts) Typical Low $204.17 Median $371.54 Typical High $549.54 | Professional | None (both parts) | $204.17 | $371.54 | $549.54 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $79.43 Typical High $114.82 | Professional | 26 · Professional part | $56.23 | $79.43 | $114.82 |
Providence Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $223.87 Typical High $436.52 | Professional | TC · Technical part | $138.04 | $223.87 | $436.52 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $363.08 Median $380.19 Typical High $537.03 | Professional | None (both parts) | $363.08 | $380.19 | $537.03 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $77.62 Typical High $117.49 | Professional | 26 · Professional part | $74.13 | $77.62 | $117.49 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $302.00 Typical High $436.52 | Professional | TC · Technical part | $288.40 | $302.00 | $436.52 |
United Setting Facility Modifier None Typical Low $151.36 Median $275.42 Typical High $4,897.79 | Facility | None | $151.36 | $275.42 | $4,897.79 |
United Setting Professional Modifier None (both parts) Typical Low $213.80 Median $302.00 Typical High $575.44 | Professional | None (both parts) | $213.80 | $302.00 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $83.18 Typical High $134.90 | Professional | 26 · Professional part | $60.26 | $83.18 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $229.09 Typical High $436.52 | Professional | TC · Technical part | $138.04 | $229.09 | $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 $95.50 Median $128.82 Typical High $128.82 | Professional | 52 · Reduced service | $95.50 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $51.29 Typical High $51.29 | Professional | 53 · Discontinued | $38.02 | $51.29 | $51.29 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | 52 · Reduced service | $128.82 | $128.82 | $128.82 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | 53 · Discontinued | $51.29 | $51.29 | $51.29 |
Where Oregon sits
The same service costs 5.6 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· 20th of 51
$234
AK $759TX $135
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.