How much rates vary
Facilitymedian $257 · 10th to 90th $102 to $741Professionalmedian $339 · 10th to 90th $162 to $525
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 $323.59 Median $371.54 Typical High $524.81 | Facility | None | $323.59 | $371.54 | $524.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $354.81 Typical High $446.68 | Professional | None (both parts) | $173.78 | $354.81 | $446.68 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $83.18 Typical High $97.72 | Professional | 26 · Professional part | $54.95 | $83.18 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $281.84 Typical High $354.81 | Professional | TC · Technical part | $117.49 | $281.84 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $562.34 Typical High $562.34 | Facility | None | $114.82 | $562.34 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $169.82 Typical High $549.54 | Professional | None (both parts) | $162.18 | $169.82 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $56.23 Typical High $162.18 | Professional | 26 · Professional part | $52.48 | $56.23 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $117.49 Typical High $371.54 | Professional | TC · Technical part | $107.15 | $117.49 | $371.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $302.00 Median $346.74 Typical High $436.52 | Professional | None | $302.00 | $346.74 | $436.52 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $117.49 Typical High $141.25 | Professional | 26 · Professional part | $100.00 | $117.49 | $141.25 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $229.09 Typical High $288.40 | Professional | TC · Technical part | $199.53 | $229.09 | $288.40 |
Moda Health Setting Facility Modifier None Typical Low $363.08 Median $870.96 Typical High $1,905.46 | Facility | None | $363.08 | $870.96 | $1,905.46 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $234.42 Median $1,380.38 Typical High $1,412.54 | Facility | TC · Technical part | $234.42 | $1,380.38 | $1,412.54 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $208.93 Median $371.54 Typical High $524.81 | Professional | None (both parts) | $208.93 | $371.54 | $524.81 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $85.11 Typical High $169.82 | Professional | 26 · Professional part | $56.23 | $85.11 | $169.82 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $281.84 Typical High $371.54 | Professional | TC · Technical part | $125.89 | $281.84 | $371.54 |
Pacific Source Setting Facility Modifier None Typical Low $93.33 Median $199.53 Typical High $436.52 | Facility | None | $93.33 | $199.53 | $436.52 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $208.93 | Professional | None (both parts) | $112.20 | $112.20 | $208.93 |
Providence Setting Facility Modifier None Typical Low $371.54 Median $457.09 Typical High $758.58 | Facility | None | $371.54 | $457.09 | $758.58 |
Providence Setting Professional Modifier None (both parts) Typical Low $162.18 Median $354.81 Typical High $549.54 | Professional | None (both parts) | $162.18 | $354.81 | $549.54 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $109.65 Typical High $158.49 | Professional | 26 · Professional part | $52.48 | $109.65 | $158.49 |
Providence Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $239.88 Typical High $436.52 | Professional | TC · Technical part | $107.15 | $239.88 | $436.52 |
Regence BlueShield Setting Facility Modifier None Typical Low $524.81 Median $741.31 Typical High $851.14 | Facility | None | $524.81 | $741.31 | $851.14 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $288.40 Median $302.00 Typical High $467.74 | Professional | None (both parts) | $288.40 | $302.00 | $467.74 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $102.33 Typical High $147.91 | Professional | 26 · Professional part | $97.72 | $102.33 | $147.91 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $204.17 Typical High $309.03 | Professional | TC · Technical part | $190.55 | $204.17 | $309.03 |
United Setting Facility Modifier None Typical Low $562.34 Median $691.83 Typical High $870.96 | Facility | None | $562.34 | $691.83 | $870.96 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $309.03 Typical High $537.03 | Professional | None (both parts) | $144.54 | $309.03 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $97.72 Typical High $169.82 | Professional | 26 · Professional part | $48.98 | $97.72 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $218.78 Typical High $346.74 | Professional | TC · Technical part | $95.50 | $218.78 | $346.74 |
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 $79.43 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $79.43 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $31.62 | $74.13 | $74.13 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $77.62 | $186.21 | $186.21 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $30.90 | $74.13 | $74.13 |
Where Oregon sits
The same service costs 5.9 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· 10th of 51
$316
AK $617UT $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.