How much rates vary
Facilitymedian $195 · 10th to 90th $100 to $501Professionalmedian $309 · 10th to 90th $166 to $479
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 TC · Technical part Typical Low $616.60 Median $616.60 Typical High $794.33 | Facility | TC · Technical part | $616.60 | $616.60 | $794.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $147.91 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $77.62 Typical High $77.62 | Professional | 26 · Professional part | $50.12 | $77.62 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $158.49 Typical High $158.49 | Professional | TC · Technical part | $93.33 | $158.49 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $1,698.24 Median $2,398.83 Typical High $2,951.21 | Facility | None | $1,698.24 | $2,398.83 | $2,951.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $288.40 Typical High $478.63 | Professional | None (both parts) | $173.78 | $288.40 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $100.00 Typical High $169.82 | Professional | 26 · Professional part | $67.61 | $100.00 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $190.55 Typical High $338.84 | Professional | TC · Technical part | $112.20 | $190.55 | $338.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $316.23 Median $371.54 Typical High $457.09 | Professional | None | $316.23 | $371.54 | $457.09 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $125.89 Typical High $147.91 | Professional | 26 · Professional part | $104.71 | $125.89 | $147.91 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $245.47 Typical High $309.03 | Professional | TC · Technical part | $208.93 | $245.47 | $309.03 |
Moda Health Setting Facility Modifier None Typical Low $239.88 Median $338.84 Typical High $426.58 | Facility | None | $239.88 | $338.84 | $426.58 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $177.83 Median $239.88 Typical High $436.52 | Professional | None (both parts) | $177.83 | $239.88 | $436.52 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $77.62 Typical High $147.91 | Professional | 26 · Professional part | $63.10 | $77.62 | $147.91 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $158.49 Typical High $288.40 | Professional | TC · Technical part | $100.00 | $158.49 | $288.40 |
Pacific Source Setting Facility Modifier None Typical Low $91.20 Median $177.83 Typical High $323.59 | Facility | None | $91.20 | $177.83 | $323.59 |
Providence Setting Facility Modifier None Typical Low $316.23 Median $446.68 Typical High $2,398.83 | Facility | None | $316.23 | $446.68 | $2,398.83 |
Providence Setting Professional Modifier None (both parts) Typical Low $245.47 Median $323.59 Typical High $489.78 | Professional | None (both parts) | $245.47 | $323.59 | $489.78 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $117.49 Typical High $165.96 | Professional | 26 · Professional part | $81.28 | $117.49 | $165.96 |
Providence Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $199.53 Typical High $323.59 | Professional | TC · Technical part | $134.90 | $199.53 | $323.59 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,041.74 Median $2,511.89 Typical High $3,162.28 | Facility | None | $2,041.74 | $2,511.89 | $3,162.28 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $281.84 Median $323.59 Typical High $467.74 | Professional | None (both parts) | $281.84 | $323.59 | $467.74 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $109.65 Typical High $154.88 | Professional | 26 · Professional part | $104.71 | $109.65 | $154.88 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $213.80 Typical High $316.23 | Professional | TC · Technical part | $177.83 | $213.80 | $316.23 |
United Setting Facility Modifier None Typical Low $2,511.89 Median $3,090.30 Typical High $3,890.45 | Facility | None | $2,511.89 | $3,090.30 | $3,890.45 |
United Setting Professional Modifier None (both parts) Typical Low $154.88 Median $281.84 Typical High $501.19 | Professional | None (both parts) | $154.88 | $281.84 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $104.71 Typical High $181.97 | Professional | 26 · Professional part | $61.66 | $104.71 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $177.83 Typical High $323.59 | Professional | TC · Technical part | $95.50 | $177.83 | $323.59 |
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 $72.44 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $72.44 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $29.51 | $47.86 | $47.86 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $70.79 | $120.23 | $120.23 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $28.18 | $47.86 | $47.86 |
Where Oregon sits
The same service costs 4.3 times more in Alaska than in Utah. 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· 9th of 51
$282
AK $513UT $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.