How much rates vary
Facilitymedian $468 · 10th to 90th $162 to $1,148Professionalmedian $525 · 10th to 90th $295 to $933
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 $380.19 Median $524.81 Typical High $707.95 | Facility | None | $380.19 | $524.81 | $707.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $389.05 Typical High $691.83 | Professional | None (both parts) | $316.23 | $389.05 | $691.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $85.11 Typical High $162.18 | Professional | 26 · Professional part | $79.43 | $85.11 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $309.03 Typical High $549.54 | Professional | TC · Technical part | $218.78 | $309.03 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $562.34 Typical High $562.34 | Facility | None | $223.87 | $562.34 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $309.03 Typical High $1,000.00 | Professional | None (both parts) | $295.12 | $309.03 | $1,000.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $85.11 Typical High $251.19 | Professional | 26 · Professional part | $81.28 | $85.11 | $251.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $223.87 Typical High $724.44 | Professional | TC · Technical part | $213.80 | $223.87 | $724.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $549.54 Median $630.96 Typical High $776.25 | Professional | None | $549.54 | $630.96 | $776.25 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $181.97 Typical High $218.78 | Professional | 26 · Professional part | $154.88 | $181.97 | $218.78 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $446.68 Typical High $562.34 | Professional | TC · Technical part | $389.05 | $446.68 | $562.34 |
Moda Health Setting Facility Modifier None Typical Low $371.54 Median $741.31 Typical High $2,089.30 | Facility | None | $371.54 | $741.31 | $2,089.30 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $338.84 Median $812.83 Typical High $2,398.83 | Facility | TC · Technical part | $338.84 | $812.83 | $2,398.83 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $316.23 Median $478.63 Typical High $912.01 | Professional | None (both parts) | $316.23 | $478.63 | $912.01 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $109.65 Typical High $275.42 | Professional | 26 · Professional part | $79.43 | $109.65 | $275.42 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $363.08 Typical High $630.96 | Professional | TC · Technical part | $229.09 | $363.08 | $630.96 |
Pacific Source Setting Facility Modifier None Typical Low $141.25 Median $389.05 Typical High $851.14 | Facility | None | $141.25 | $389.05 | $851.14 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $173.78 Median $177.83 Typical High $416.87 | Professional | None (both parts) | $173.78 | $177.83 | $416.87 |
Providence Setting Facility Modifier None Typical Low $371.54 Median $758.58 Typical High $1,445.44 | Facility | None | $371.54 | $758.58 | $1,445.44 |
Providence Setting Professional Modifier None (both parts) Typical Low $295.12 Median $630.96 Typical High $1,023.29 | Professional | None (both parts) | $295.12 | $630.96 | $1,023.29 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $158.49 Typical High $239.88 | Professional | 26 · Professional part | $81.28 | $158.49 | $239.88 |
Providence Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $446.68 Typical High $891.25 | Professional | TC · Technical part | $213.80 | $446.68 | $891.25 |
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 $524.81 Median $549.54 Typical High $851.14 | Professional | None (both parts) | $524.81 | $549.54 | $851.14 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $158.49 Typical High $229.09 | Professional | 26 · Professional part | $151.36 | $158.49 | $229.09 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $398.11 Typical High $602.56 | Professional | TC · Technical part | $371.54 | $398.11 | $602.56 |
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 $257.04 Median $549.54 Typical High $977.24 | Professional | None (both parts) | $257.04 | $549.54 | $977.24 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $151.36 Typical High $263.03 | Professional | 26 · Professional part | $75.86 | $151.36 | $263.03 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $416.87 Typical High $691.83 | Professional | TC · Technical part | $177.83 | $416.87 | $691.83 |
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 $134.90 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $134.90 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $53.70 | $74.13 | $74.13 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $125.89 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $125.89 | $186.21 | $186.21 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $51.29 | $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· 13th of 51
$525
AK $1,000UT $170
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.