How much rates vary
Facilitymedian $145 · 10th to 90th $72 to $537Professionalmedian $214 · 10th to 90th $132 to $324
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 $398.11 Median $398.11 Typical High $501.19 | Facility | TC · Technical part | $398.11 | $398.11 | $501.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $158.49 Typical High $223.87 | Professional | None (both parts) | $109.65 | $158.49 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $54.95 Typical High $66.07 | Professional | 26 · Professional part | $38.02 | $54.95 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $102.33 Typical High $158.49 | Professional | TC · Technical part | $70.79 | $102.33 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $4,168.69 Median $6,025.60 Typical High $7,244.36 | Facility | None | $4,168.69 | $6,025.60 | $7,244.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $199.53 Typical High $354.81 | Professional | None (both parts) | $141.25 | $199.53 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $69.18 Typical High $120.23 | Professional | 26 · Professional part | $47.86 | $69.18 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $128.82 Typical High $234.42 | Professional | TC · Technical part | $95.50 | $128.82 | $234.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $245.47 Median $281.84 Typical High $346.74 | Professional | None | $245.47 | $281.84 | $346.74 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $93.33 Typical High $109.65 | Professional | 26 · Professional part | $77.62 | $93.33 | $109.65 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $186.21 Typical High $239.88 | Professional | TC · Technical part | $162.18 | $186.21 | $239.88 |
Moda Health Setting Facility Modifier None Typical Low $158.49 Median $234.42 Typical High $288.40 | Facility | None | $158.49 | $234.42 | $288.40 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $141.25 Median $162.18 Typical High $331.13 | Professional | None (both parts) | $141.25 | $162.18 | $331.13 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $54.95 Typical High $102.33 | Professional | 26 · Professional part | $41.69 | $54.95 | $102.33 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $102.33 Typical High $218.78 | Professional | TC · Technical part | $91.20 | $102.33 | $218.78 |
Pacific Source Setting Facility Modifier None Typical Low $70.79 Median $123.03 Typical High $223.87 | Facility | None | $70.79 | $123.03 | $223.87 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $61.66 Median $61.66 Typical High $107.15 | Professional | None (both parts) | $61.66 | $61.66 | $107.15 |
Providence Setting Facility Modifier None Typical Low $199.53 Median $302.00 Typical High $6,025.60 | Facility | None | $199.53 | $302.00 | $6,025.60 |
Providence Setting Professional Modifier None (both parts) Typical Low $165.96 Median $223.87 Typical High $323.59 | Professional | None (both parts) | $165.96 | $223.87 | $323.59 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $81.28 Typical High $117.49 | Professional | 26 · Professional part | $56.23 | $81.28 | $117.49 |
Providence Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $138.04 Typical High $213.80 | Professional | TC · Technical part | $102.33 | $138.04 | $213.80 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,128.61 Median $6,165.95 Typical High $7,762.47 | Facility | None | $5,128.61 | $6,165.95 | $7,762.47 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $194.98 Median $218.78 Typical High $309.03 | Professional | None (both parts) | $194.98 | $218.78 | $309.03 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $75.86 Typical High $109.65 | Professional | 26 · Professional part | $72.44 | $75.86 | $109.65 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $141.25 Typical High $199.53 | Professional | TC · Technical part | $120.23 | $141.25 | $199.53 |
United Setting Facility Modifier None Typical Low $6,165.95 Median $7,762.47 Typical High $9,549.93 | Facility | None | $6,165.95 | $7,762.47 | $9,549.93 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $208.93 Typical High $363.08 | Professional | None (both parts) | $107.15 | $208.93 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $72.44 Typical High $125.89 | Professional | 26 · Professional part | $43.65 | $72.44 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $125.89 Typical High $234.42 | Professional | TC · Technical part | $64.57 | $125.89 | $234.42 |
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 $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $50.12 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $19.95 | $31.62 | $31.62 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $46.77 | $77.62 | $77.62 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $18.62 | $31.62 | $31.62 |
Where Oregon sits
The same service costs 4.0 times more in Alaska than in Florida. 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· 13th of 51
$200
AK $339FL $85.11
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.