How much rates vary
Facilitymedian $331 · 10th to 90th $115 to $646Professionalmedian $398 · 10th to 90th $209 to $646
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 Professional Modifier None (both parts) Typical Low $257.04 Median $371.54 Typical High $426.58 | Professional | None (both parts) | $257.04 | $371.54 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $85.11 Typical High $93.33 | Professional | 26 · Professional part | $60.26 | $85.11 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $281.84 Typical High $363.08 | Professional | TC · Technical part | $177.83 | $281.84 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $562.34 Typical High $562.34 | Facility | None | $162.18 | $562.34 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $223.87 Typical High $724.44 | Professional | None (both parts) | $208.93 | $223.87 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $61.66 Typical High $181.97 | Professional | 26 · Professional part | $58.88 | $61.66 | $181.97 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $169.82 Typical High $524.81 | Professional | TC · Technical part | $151.36 | $169.82 | $524.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $398.11 Median $457.09 Typical High $562.34 | Professional | None | $398.11 | $457.09 | $562.34 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $134.90 Typical High $158.49 | Professional | 26 · Professional part | $112.20 | $134.90 | $158.49 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $323.59 Typical High $407.38 | Professional | TC · Technical part | $275.42 | $323.59 | $407.38 |
Moda Health Setting Facility Modifier None Typical Low $371.54 Median $660.69 Typical High $870.96 | Facility | None | $371.54 | $660.69 | $870.96 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $338.84 Median $371.54 Typical High $602.56 | Professional | None (both parts) | $338.84 | $371.54 | $602.56 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $85.11 Typical High $154.88 | Professional | 26 · Professional part | $61.66 | $85.11 | $154.88 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $281.84 Typical High $446.68 | Professional | TC · Technical part | $229.09 | $281.84 | $446.68 |
Pacific Source Setting Facility Modifier None Typical Low $102.33 Median $288.40 Typical High $512.86 | Facility | None | $102.33 | $288.40 | $512.86 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $117.49 Median $125.89 Typical High $288.40 | Professional | None (both parts) | $117.49 | $125.89 | $288.40 |
Providence Setting Facility Modifier None Typical Low $371.54 Median $588.84 Typical High $870.96 | Facility | None | $371.54 | $588.84 | $870.96 |
Providence Setting Professional Modifier None (both parts) Typical Low $208.93 Median $489.78 Typical High $691.83 | Professional | None (both parts) | $208.93 | $489.78 | $691.83 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $117.49 Typical High $177.83 | Professional | 26 · Professional part | $58.88 | $117.49 | $177.83 |
Providence Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $371.54 Typical High $549.54 | Professional | TC · Technical part | $151.36 | $371.54 | $549.54 |
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 $380.19 Median $398.11 Typical High $616.60 | Professional | None (both parts) | $380.19 | $398.11 | $616.60 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $117.49 Typical High $165.96 | Professional | 26 · Professional part | $109.65 | $117.49 | $165.96 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $281.84 Typical High $426.58 | Professional | TC · Technical part | $269.15 | $281.84 | $426.58 |
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 $199.53 Median $426.58 Typical High $691.83 | Professional | None (both parts) | $199.53 | $426.58 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $109.65 Typical High $194.98 | Professional | 26 · Professional part | $54.95 | $109.65 | $194.98 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $316.23 Typical High $489.78 | Professional | TC · Technical part | $144.54 | $316.23 | $489.78 |
5 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 Facility Modifier 53 · Discontinued Typical Low $223.87 Median $223.87 Typical High $281.84 | Facility | 53 · Discontinued | $223.87 | $223.87 | $281.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $104.71 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $41.69 | $74.13 | $74.13 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $100.00 | $186.21 | $186.21 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $40.74 | $74.13 | $74.13 |
Where Oregon sits
The same service costs 5.2 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
$398
AK $794UT $151
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.