How much rates vary
Facilitymedian $245 · 10th to 90th $93 to $550Professionalmedian $288 · 10th to 90th $138 to $447
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 $524.81 | Facility | None | $269.15 | $371.54 | $524.81 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $177.83 Median $346.74 Typical High $1,412.54 | Facility | TC · Technical part | $177.83 | $346.74 | $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 $46.77 Median $75.86 Typical High $100.00 | Professional | 26 · Professional part | $46.77 | $75.86 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $223.87 Typical High $309.03 | Professional | TC · Technical part | $97.72 | $223.87 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $346.74 Typical High $346.74 | Facility | None | $95.50 | $346.74 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $144.54 Typical High $467.74 | Professional | None (both parts) | $138.04 | $144.54 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $48.98 Typical High $144.54 | Professional | 26 · Professional part | $46.77 | $48.98 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $107.15 Typical High $309.03 | Professional | TC · Technical part | $91.20 | $107.15 | $309.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $257.04 Median $295.12 Typical High $371.54 | Professional | None | $257.04 | $295.12 | $371.54 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $104.71 Typical High $125.89 | Professional | 26 · Professional part | $89.13 | $104.71 | $125.89 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $190.55 Typical High $245.47 | Professional | TC · Technical part | $165.96 | $190.55 | $245.47 |
Moda Health Setting Facility Modifier None Typical Low $213.80 Median $549.54 Typical High $1,949.84 | Facility | None | $213.80 | $549.54 | $1,949.84 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $199.53 Median $524.81 Typical High $1,412.54 | Facility | TC · Technical part | $199.53 | $524.81 | $1,412.54 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $165.96 Median $316.23 Typical High $489.78 | Professional | None (both parts) | $165.96 | $316.23 | $489.78 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $85.11 Typical High $154.88 | Professional | 26 · Professional part | $46.77 | $85.11 | $154.88 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $223.87 Typical High $346.74 | Professional | TC · Technical part | $104.71 | $223.87 | $346.74 |
Pacific Source Setting Facility Modifier None Typical Low $77.62 Median $181.97 Typical High $338.84 | Facility | None | $77.62 | $181.97 | $338.84 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $85.11 Median $100.00 Typical High $173.78 | Professional | None (both parts) | $85.11 | $100.00 | $173.78 |
Providence Setting Facility Modifier None Typical Low $346.74 Median $398.11 Typical High $575.44 | Facility | None | $346.74 | $398.11 | $575.44 |
Providence Setting Professional Modifier None (both parts) Typical Low $138.04 Median $316.23 Typical High $457.09 | Professional | None (both parts) | $138.04 | $316.23 | $457.09 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $95.50 Typical High $138.04 | Professional | 26 · Professional part | $46.77 | $95.50 | $138.04 |
Providence Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $234.42 Typical High $338.84 | Professional | TC · Technical part | $91.20 | $234.42 | $338.84 |
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 $398.11 | Professional | None (both parts) | $245.47 | $257.04 | $398.11 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $91.20 Typical High $128.82 | Professional | 26 · Professional part | $87.10 | $91.20 | $128.82 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $165.96 Typical High $257.04 | Professional | TC · Technical part | $158.49 | $165.96 | $257.04 |
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 $134.90 Median $288.40 Typical High $457.09 | Professional | None (both parts) | $134.90 | $288.40 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $87.10 Typical High $151.36 | Professional | 26 · Professional part | $43.65 | $87.10 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $199.53 Typical High $309.03 | Professional | TC · Technical part | $91.20 | $199.53 | $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 $66.07 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $66.07 | $186.21 | $186.21 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $26.30 | $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
$269
AK $525UT $100
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.