How much rates vary
Facilitymedian $363 · 10th to 90th $105 to $759Professionalmedian $437 · 10th to 90th $240 to $692
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 $562.34 | Facility | None | $380.19 | $524.81 | $562.34 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $371.54 Typical High $537.03 | Professional | None (both parts) | $263.03 | $371.54 | $537.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $85.11 Typical High $109.65 | Professional | 26 · Professional part | $50.12 | $85.11 | $109.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $281.84 Typical High $407.38 | Professional | TC · Technical part | $204.17 | $281.84 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $562.34 Typical High $562.34 | Facility | None | $208.93 | $562.34 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $263.03 Typical High $741.31 | Professional | None (both parts) | $239.88 | $263.03 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $56.23 Typical High $165.96 | Professional | 26 · Professional part | $53.70 | $56.23 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $204.17 Typical High $575.44 | Professional | TC · Technical part | $186.21 | $204.17 | $575.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $446.68 Median $524.81 Typical High $645.65 | Professional | None | $446.68 | $524.81 | $645.65 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $123.03 Typical High $144.54 | Professional | 26 · Professional part | $102.33 | $123.03 | $144.54 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $407.38 Typical High $501.19 | Professional | TC · Technical part | $346.74 | $407.38 | $501.19 |
Moda Health Setting Facility Modifier None Typical Low $363.08 Median $645.65 Typical High $1,698.24 | Facility | None | $363.08 | $645.65 | $1,698.24 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $338.84 Median $426.58 Typical High $1,412.54 | Facility | TC · Technical part | $338.84 | $426.58 | $1,412.54 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $269.15 Median $371.54 Typical High $660.69 | Professional | None (both parts) | $269.15 | $371.54 | $660.69 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $85.11 Typical High $173.78 | Professional | 26 · Professional part | $56.23 | $85.11 | $173.78 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $281.84 Typical High $489.78 | Professional | TC · Technical part | $218.78 | $281.84 | $489.78 |
Pacific Source Setting Facility Modifier None Typical Low $89.13 Median $323.59 Typical High $467.74 | Facility | None | $89.13 | $323.59 | $467.74 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $66.07 Median $114.82 Typical High $363.08 | Professional | None (both parts) | $66.07 | $114.82 | $363.08 |
Providence Setting Facility Modifier None Typical Low $371.54 Median $616.60 Typical High $870.96 | Facility | None | $371.54 | $616.60 | $870.96 |
Providence Setting Professional Modifier None (both parts) Typical Low $239.88 Median $489.78 Typical High $691.83 | Professional | None (both parts) | $239.88 | $489.78 | $691.83 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $107.15 Typical High $162.18 | Professional | 26 · Professional part | $53.70 | $107.15 | $162.18 |
Providence Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $354.81 Typical High $524.81 | Professional | TC · Technical part | $186.21 | $354.81 | $524.81 |
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 $436.52 Median $457.09 Typical High $645.65 | Professional | None (both parts) | $436.52 | $457.09 | $645.65 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $107.15 Typical High $151.36 | Professional | 26 · Professional part | $100.00 | $107.15 | $151.36 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $354.81 Typical High $512.86 | Professional | TC · Technical part | $338.84 | $354.81 | $512.86 |
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 $208.93 Median $426.58 Typical High $741.31 | Professional | None (both parts) | $208.93 | $426.58 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $100.00 Typical High $177.83 | Professional | 26 · Professional part | $50.12 | $100.00 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $338.84 Typical High $562.34 | Professional | TC · Technical part | $158.49 | $338.84 | $562.34 |
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 $117.49 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $117.49 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $47.86 | $74.13 | $74.13 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $112.20 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $112.20 | $186.21 | $186.21 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $45.71 | $74.13 | $74.13 |
Where Oregon sits
The same service costs 4.4 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
$417
AK $776UT $178
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.