How much rates vary
Facilitymedian $240 · 10th to 90th $79 to $631Professionalmedian $275 · 10th to 90th $135 to $457
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 $269.15 Median $371.54 Typical High $457.09 | Facility | None | $269.15 | $371.54 | $457.09 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $186.21 Median $338.84 Typical High $1,412.54 | Facility | TC · Technical part | $186.21 | $338.84 | $1,412.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $275.42 Typical High $436.52 | Professional | None (both parts) | $147.91 | $275.42 | $436.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $70.79 Typical High $97.72 | Professional | 26 · Professional part | $42.66 | $70.79 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $223.87 Typical High $316.23 | Professional | TC · Technical part | $104.71 | $223.87 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $346.74 Typical High $346.74 | Facility | None | $102.33 | $346.74 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $144.54 Typical High $467.74 | Professional | None (both parts) | $134.90 | $144.54 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $44.67 Typical High $123.03 | Professional | 26 · Professional part | $39.81 | $44.67 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $102.33 Typical High $331.13 | Professional | TC · Technical part | $95.50 | $102.33 | $331.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $257.04 Median $295.12 Typical High $363.08 | Professional | None | $257.04 | $295.12 | $363.08 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $91.20 Typical High $107.15 | Professional | 26 · Professional part | $75.86 | $91.20 | $107.15 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $204.17 Typical High $257.04 | Professional | TC · Technical part | $177.83 | $204.17 | $257.04 |
Moda Health Setting Facility Modifier None Typical Low $213.80 Median $630.96 Typical High $1,584.89 | Facility | None | $213.80 | $630.96 | $1,584.89 |
Moda Health Setting Facility Modifier 26 · Professional part Typical Low $81.28 Median $100.00 Typical High $338.84 | Facility | 26 · Professional part | $81.28 | $100.00 | $338.84 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $181.97 Median $537.03 Typical High $1,318.26 | Facility | TC · Technical part | $181.97 | $537.03 | $1,318.26 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $194.98 Median $338.84 Typical High $562.34 | Professional | None (both parts) | $194.98 | $338.84 | $562.34 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $85.11 Typical High $181.97 | Professional | 26 · Professional part | $41.69 | $85.11 | $181.97 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $223.87 Typical High $331.13 | Professional | TC · Technical part | $112.20 | $223.87 | $331.13 |
Pacific Source Setting Facility Modifier None Typical Low $70.79 Median $177.83 Typical High $302.00 | Facility | None | $70.79 | $177.83 | $302.00 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $85.11 Median $107.15 Typical High $218.78 | Professional | None (both parts) | $85.11 | $107.15 | $218.78 |
Providence Setting Facility Modifier None Typical Low $338.84 Median $380.19 Typical High $630.96 | Facility | None | $338.84 | $380.19 | $630.96 |
Providence Setting Professional Modifier None (both parts) Typical Low $134.90 Median $295.12 Typical High $467.74 | Professional | None (both parts) | $134.90 | $295.12 | $467.74 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $85.11 Typical High $123.03 | Professional | 26 · Professional part | $39.81 | $85.11 | $123.03 |
Providence Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $208.93 Typical High $354.81 | Professional | TC · Technical part | $95.50 | $208.93 | $354.81 |
Regence BlueShield Setting Facility Modifier None Typical Low $309.03 Median $389.05 Typical High $501.19 | Facility | None | $309.03 | $389.05 | $501.19 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $245.47 Median $257.04 Typical High $389.05 | Professional | None (both parts) | $245.47 | $257.04 | $389.05 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $77.62 Typical High $112.20 | Professional | 26 · Professional part | $74.13 | $77.62 | $112.20 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $177.83 Typical High $275.42 | Professional | TC · Technical part | $169.82 | $177.83 | $275.42 |
United Setting Facility Modifier None Typical Low $331.13 Median $416.87 Typical High $512.86 | Facility | None | $331.13 | $416.87 | $512.86 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $257.04 Typical High $446.68 | Professional | None (both parts) | $120.23 | $257.04 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $74.13 Typical High $128.82 | Professional | 26 · Professional part | $37.15 | $74.13 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $186.21 Typical High $309.03 | Professional | TC · Technical part | $83.18 | $186.21 | $309.03 |
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 $67.61 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $67.61 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $26.92 | $74.13 | $74.13 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $64.57 | $186.21 | $186.21 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $25.70 | $74.13 | $74.13 |
Where Oregon sits
The same service costs 4.9 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· 12th of 51
$269
AK $513UT $105
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.