How much rates vary
Facilitymedian $132 · 10th to 90th $71 to $513Professionalmedian $209 · 10th to 90th $129 to $316
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 TC · Technical part Typical Low $389.05 Median $389.05 Typical High $501.19 | Facility | TC · Technical part | $389.05 | $389.05 | $501.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $162.18 Typical High $162.18 | Professional | None (both parts) | $100.00 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $63.10 Typical High $63.10 | Professional | 26 · Professional part | $39.81 | $63.10 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $100.00 Typical High $100.00 | Professional | TC · Technical part | $60.26 | $100.00 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $1,698.24 Median $2,398.83 Typical High $2,951.21 | Facility | None | $1,698.24 | $2,398.83 | $2,951.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $194.98 Typical High $331.13 | Professional | None (both parts) | $151.36 | $194.98 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $75.86 Typical High $128.82 | Professional | 26 · Professional part | $52.48 | $75.86 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $120.23 Typical High $208.93 | Professional | TC · Technical part | $93.33 | $120.23 | $208.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $208.93 Median $245.47 Typical High $295.12 | Professional | None | $208.93 | $245.47 | $295.12 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $97.72 Typical High $114.82 | Professional | 26 · Professional part | $81.28 | $97.72 | $114.82 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $147.91 Typical High $181.97 | Professional | TC · Technical part | $123.03 | $147.91 | $181.97 |
Moda Health Setting Facility Modifier None Typical Low $162.18 Median $239.88 Typical High $346.74 | Facility | None | $162.18 | $239.88 | $346.74 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $141.25 Median $173.78 Typical High $316.23 | Professional | None (both parts) | $141.25 | $173.78 | $316.23 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $63.10 Typical High $114.82 | Professional | 26 · Professional part | $50.12 | $63.10 | $114.82 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $100.00 Typical High $199.53 | Professional | TC · Technical part | $89.13 | $100.00 | $199.53 |
Pacific Source Setting Facility Modifier None Typical Low $70.79 Median $125.89 Typical High $218.78 | Facility | None | $70.79 | $125.89 | $218.78 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $138.04 | Professional | None (both parts) | $91.20 | $91.20 | $138.04 |
Providence Setting Facility Modifier None Typical Low $169.82 Median $316.23 Typical High $2,398.83 | Facility | None | $169.82 | $316.23 | $2,398.83 |
Providence Setting Professional Modifier None (both parts) Typical Low $158.49 Median $229.09 Typical High $323.59 | Professional | None (both parts) | $158.49 | $229.09 | $323.59 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $87.10 Typical High $125.89 | Professional | 26 · Professional part | $61.66 | $87.10 | $125.89 |
Providence Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $134.90 Typical High $194.98 | Professional | TC · Technical part | $95.50 | $134.90 | $194.98 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,041.74 Median $2,754.23 Typical High $3,162.28 | Facility | None | $2,041.74 | $2,754.23 | $3,162.28 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $199.53 Median $208.93 Typical High $316.23 | Professional | None (both parts) | $199.53 | $208.93 | $316.23 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $83.18 Typical High $123.03 | Professional | 26 · Professional part | $79.43 | $83.18 | $123.03 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $125.89 Typical High $194.98 | Professional | TC · Technical part | $114.82 | $125.89 | $194.98 |
United Setting Facility Modifier None Typical Low $2,511.89 Median $3,090.30 Typical High $3,890.45 | Facility | None | $2,511.89 | $3,090.30 | $3,890.45 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $199.53 Typical High $346.74 | Professional | None (both parts) | $109.65 | $199.53 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $81.28 Typical High $138.04 | Professional | 26 · Professional part | $46.77 | $81.28 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $120.23 Typical High $208.93 | Professional | TC · Technical part | $66.07 | $120.23 | $208.93 |
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 $50.12 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $50.12 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $19.95 | $32.36 | $32.36 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $48.98 | $81.28 | $81.28 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $19.50 | $32.36 | $32.36 |
Where Oregon sits
The same service costs 4.6 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
$200
AK $347UT $75.86
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.