How much rates vary
Facilitymedian $457 · 10th to 90th $162 to $776Professionalmedian $575 · 10th to 90th $324 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 $660.69 Median $660.69 Typical High $741.31 | Facility | None | $660.69 | $660.69 | $741.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $371.54 Typical High $562.34 | Professional | None (both parts) | $323.59 | $371.54 | $562.34 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $85.11 Typical High $131.83 | Professional | 26 · Professional part | $77.62 | $85.11 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $281.84 Typical High $436.52 | Professional | TC · Technical part | $239.88 | $281.84 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $562.34 Typical High $562.34 | Facility | None | $257.04 | $562.34 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $346.74 Typical High $1,000.00 | Professional | None (both parts) | $323.59 | $346.74 | $1,000.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $87.10 Typical High $257.04 | Professional | 26 · Professional part | $83.18 | $87.10 | $257.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $257.04 Typical High $758.58 | Professional | TC · Technical part | $239.88 | $257.04 | $758.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $602.56 Median $691.83 Typical High $870.96 | Professional | None | $602.56 | $691.83 | $870.96 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $186.21 Typical High $223.87 | Professional | 26 · Professional part | $158.49 | $186.21 | $223.87 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $512.86 Typical High $645.65 | Professional | TC · Technical part | $446.68 | $512.86 | $645.65 |
Moda Health Setting Facility Modifier None Typical Low $416.87 Median $741.31 Typical High $1,174.90 | Facility | None | $416.87 | $741.31 | $1,174.90 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $371.54 Median $478.63 Typical High $870.96 | Professional | None (both parts) | $371.54 | $478.63 | $870.96 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $91.20 Typical High $218.78 | Professional | 26 · Professional part | $85.11 | $91.20 | $218.78 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $389.05 Typical High $645.65 | Professional | TC · Technical part | $281.84 | $389.05 | $645.65 |
Pacific Source Setting Facility Modifier None Typical Low $151.36 Median $436.52 Typical High $676.08 | Facility | None | $151.36 | $436.52 | $676.08 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $162.18 Median $177.83 Typical High $707.95 | Professional | None (both parts) | $162.18 | $177.83 | $707.95 |
Providence Setting Facility Modifier None Typical Low $371.54 Median $831.76 Typical High $1,174.90 | Facility | None | $371.54 | $831.76 | $1,174.90 |
Providence Setting Professional Modifier None (both parts) Typical Low $323.59 Median $660.69 Typical High $954.99 | Professional | None (both parts) | $323.59 | $660.69 | $954.99 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $165.96 Typical High $251.19 | Professional | 26 · Professional part | $83.18 | $165.96 | $251.19 |
Providence Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $467.74 Typical High $758.58 | Professional | TC · Technical part | $239.88 | $467.74 | $758.58 |
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 $575.44 Median $616.60 Typical High $851.14 | Professional | None (both parts) | $575.44 | $616.60 | $851.14 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $162.18 Typical High $234.42 | Professional | 26 · Professional part | $154.88 | $162.18 | $234.42 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $446.68 Typical High $645.65 | Professional | TC · Technical part | $426.58 | $446.68 | $645.65 |
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 $275.42 Median $602.56 Typical High $1,000.00 | Professional | None (both parts) | $275.42 | $602.56 | $1,000.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $154.88 Typical High $269.15 | Professional | 26 · Professional part | $77.62 | $154.88 | $269.15 |
United Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $436.52 Typical High $741.31 | Professional | TC · Technical part | $199.53 | $436.52 | $741.31 |
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 $54.95 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $54.95 | $74.13 | $74.13 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $128.82 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $128.82 | $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 5.8 times more in Alaska than in Texas. 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· 9th of 51
$562
AK $977TX $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.