How much rates vary
Facilitymedian $138 · 10th to 90th $68 to $525Professionalmedian $204 · 10th to 90th $123 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 $380.19 Median $380.19 Typical High $489.78 | Facility | TC · Technical part | $380.19 | $380.19 | $489.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $151.36 Typical High $199.53 | Professional | None (both parts) | $107.15 | $151.36 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $53.70 Typical High $64.57 | Professional | 26 · Professional part | $38.02 | $53.70 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $97.72 Typical High $138.04 | Professional | TC · Technical part | $69.18 | $97.72 | $138.04 |
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 $154.88 Median $199.53 Typical High $338.84 | Professional | None (both parts) | $154.88 | $199.53 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $69.18 Typical High $117.49 | Professional | 26 · Professional part | $47.86 | $69.18 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $128.82 Typical High $223.87 | Professional | TC · Technical part | $100.00 | $128.82 | $223.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $218.78 Median $251.19 Typical High $316.23 | Professional | None | $218.78 | $251.19 | $316.23 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $91.20 Typical High $109.65 | Professional | 26 · Professional part | $77.62 | $91.20 | $109.65 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $162.18 Typical High $204.17 | Professional | TC · Technical part | $141.25 | $162.18 | $204.17 |
Moda Health Setting Facility Modifier None Typical Low $151.36 Median $223.87 Typical High $346.74 | Facility | None | $151.36 | $223.87 | $346.74 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $125.89 Median $158.49 Typical High $288.40 | Professional | None (both parts) | $125.89 | $158.49 | $288.40 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $53.70 Typical High $104.71 | Professional | 26 · Professional part | $40.74 | $53.70 | $104.71 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $112.20 Typical High $199.53 | Professional | TC · Technical part | $85.11 | $112.20 | $199.53 |
Pacific Source Setting Facility Modifier None Typical Low $64.57 Median $117.49 Typical High $218.78 | Facility | None | $64.57 | $117.49 | $218.78 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $77.62 Median $102.33 Typical High $181.97 | Professional | None (both parts) | $77.62 | $102.33 | $181.97 |
Providence Setting Facility Modifier None Typical Low $181.97 Median $316.23 Typical High $2,398.83 | Facility | None | $181.97 | $316.23 | $2,398.83 |
Providence Setting Professional Modifier None (both parts) Typical Low $162.18 Median $229.09 Typical High $323.59 | Professional | None (both parts) | $162.18 | $229.09 | $323.59 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $79.43 Typical High $114.82 | Professional | 26 · Professional part | $56.23 | $79.43 | $114.82 |
Providence Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $144.54 Typical High $204.17 | Professional | TC · Technical part | $95.50 | $144.54 | $204.17 |
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 $194.98 Median $213.80 Typical High $302.00 | Professional | None (both parts) | $194.98 | $213.80 | $302.00 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $77.62 Typical High $109.65 | Professional | 26 · Professional part | $72.44 | $77.62 | $109.65 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $134.90 Typical High $190.55 | Professional | TC · Technical part | $114.82 | $134.90 | $190.55 |
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 $104.71 Median $190.55 Typical High $316.23 | Professional | None (both parts) | $104.71 | $190.55 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $70.79 Typical High $123.03 | Professional | 26 · Professional part | $41.69 | $70.79 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $117.49 Typical High $218.78 | Professional | TC · Technical part | $63.10 | $117.49 | $218.78 |
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 $48.98 Median $75.86 Typical High $75.86 | Professional | 52 · Reduced service | $48.98 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $30.20 Typical High $30.20 | Professional | 53 · Discontinued | $19.50 | $30.20 | $30.20 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $75.86 Typical High $75.86 | Professional | 52 · Reduced service | $45.71 | $75.86 | $75.86 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $30.20 Typical High $30.20 | Professional | 53 · Discontinued | $18.20 | $30.20 | $30.20 |
Where Oregon sits
The same service costs 4.3 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· 9th of 51
$195
AK $324UT $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.