How much rates vary
Facilitymedian $178 · 10th to 90th $98 to $724Professionalmedian $288 · 10th to 90th $162 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 Professional Modifier None (both parts) Typical Low $147.91 Median $208.93 Typical High $213.80 | Professional | None (both parts) | $147.91 | $208.93 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $89.13 Typical High $89.13 | Professional | 26 · Professional part | $58.88 | $89.13 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $117.49 Typical High $128.82 | Professional | TC · Technical part | $87.10 | $117.49 | $128.82 |
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 $218.78 Median $275.42 Typical High $478.63 | Professional | None (both parts) | $218.78 | $275.42 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $114.82 Typical High $186.21 | Professional | 26 · Professional part | $79.43 | $114.82 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $165.96 Typical High $288.40 | Professional | TC · Technical part | $128.82 | $165.96 | $288.40 |
Kaiser Permanente Setting Professional Modifier None Typical Low $263.03 Median $316.23 Typical High $380.19 | Professional | None | $263.03 | $316.23 | $380.19 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $141.25 Typical High $162.18 | Professional | 26 · Professional part | $114.82 | $141.25 | $162.18 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $173.78 Typical High $213.80 | Professional | TC · Technical part | $147.91 | $173.78 | $213.80 |
Moda Health Setting Facility Modifier None Typical Low $208.93 Median $309.03 Typical High $549.54 | Facility | None | $208.93 | $309.03 | $549.54 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $165.96 Median $223.87 Typical High $446.68 | Professional | None (both parts) | $165.96 | $223.87 | $446.68 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $89.13 Typical High $177.83 | Professional | 26 · Professional part | $63.10 | $89.13 | $177.83 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $117.49 Typical High $275.42 | Professional | TC · Technical part | $97.72 | $117.49 | $275.42 |
Pacific Source Setting Facility Modifier None Typical Low $89.13 Median $165.96 Typical High $309.03 | Facility | None | $89.13 | $165.96 | $309.03 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $77.62 Median $83.18 Typical High $125.89 | Professional | None (both parts) | $77.62 | $83.18 | $125.89 |
Providence Setting Facility Modifier None Typical Low $218.78 Median $457.09 Typical High $2,398.83 | Facility | None | $218.78 | $457.09 | $2,398.83 |
Providence Setting Professional Modifier None (both parts) Typical Low $229.09 Median $323.59 Typical High $457.09 | Professional | None (both parts) | $229.09 | $323.59 | $457.09 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $128.82 Typical High $190.55 | Professional | 26 · Professional part | $93.33 | $128.82 | $190.55 |
Providence Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $186.21 Typical High $288.40 | Professional | TC · Technical part | $117.49 | $186.21 | $288.40 |
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 $269.15 Median $302.00 Typical High $436.52 | Professional | None (both parts) | $269.15 | $302.00 | $436.52 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $125.89 Typical High $181.97 | Professional | 26 · Professional part | $117.49 | $125.89 | $181.97 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $173.78 Typical High $263.03 | Professional | TC · Technical part | $144.54 | $173.78 | $263.03 |
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 $144.54 Median $257.04 Typical High $478.63 | Professional | None (both parts) | $144.54 | $257.04 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $117.49 Typical High $204.17 | Professional | 26 · Professional part | $67.61 | $117.49 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $147.91 Typical High $288.40 | Professional | TC · Technical part | $75.86 | $147.91 | $288.40 |
5 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 Facility Modifier 53 · Discontinued Typical Low $91.20 Median $91.20 Typical High $117.49 | Facility | 53 · Discontinued | $91.20 | $91.20 | $117.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $102.33 Typical High $102.33 | Professional | 52 · Reduced service | $70.79 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $41.69 Typical High $41.69 | Professional | 53 · Discontinued | $28.18 | $41.69 | $41.69 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $102.33 Typical High $102.33 | Professional | 52 · Reduced service | $69.18 | $102.33 | $102.33 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $41.69 Typical High $41.69 | Professional | 53 · Discontinued | $27.54 | $41.69 | $41.69 |
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· 11th of 51
$269
AK $447UT $97.72
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.