How much rates vary
Facilitymedian $162 · 10th to 90th $50 to $525Professionalmedian $219 · 10th to 90th $138 to $339
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 $645.65 Median $645.65 Typical High $831.76 | Facility | TC · Technical part | $645.65 | $645.65 | $831.76 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $204.17 Typical High $218.78 | Professional | None (both parts) | $120.23 | $204.17 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $38.02 Typical High $50.12 | Professional | 26 · Professional part | $25.12 | $38.02 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $165.96 Typical High $165.96 | Professional | TC · Technical part | $95.50 | $165.96 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $1,174.90 Typical High $1,318.26 | Facility | None | $776.25 | $1,174.90 | $1,318.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $204.17 Typical High $354.81 | Professional | None (both parts) | $138.04 | $204.17 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $50.12 Typical High $91.20 | Professional | 26 · Professional part | $33.88 | $50.12 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $151.36 Typical High $257.04 | Professional | TC · Technical part | $112.20 | $151.36 | $257.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $234.42 Median $275.42 Typical High $338.84 | Professional | None | $234.42 | $275.42 | $338.84 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $72.44 Typical High $85.11 | Professional | 26 · Professional part | $60.26 | $72.44 | $85.11 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $204.17 Typical High $251.19 | Professional | TC · Technical part | $169.82 | $204.17 | $251.19 |
Moda Health Setting Facility Modifier None Typical Low $204.17 Median $281.84 Typical High $389.05 | Facility | None | $204.17 | $281.84 | $389.05 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $134.90 Median $204.17 Typical High $288.40 | Professional | None (both parts) | $134.90 | $204.17 | $288.40 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $38.02 Typical High $81.28 | Professional | 26 · Professional part | $26.92 | $38.02 | $81.28 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $165.96 Typical High $213.80 | Professional | TC · Technical part | $100.00 | $165.96 | $213.80 |
Pacific Source Setting Facility Modifier None Typical Low $48.98 Median $151.36 Typical High $239.88 | Facility | None | $48.98 | $151.36 | $239.88 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $186.21 | Professional | None (both parts) | $50.12 | $50.12 | $186.21 |
Providence Setting Facility Modifier None Typical Low $245.47 Median $323.59 Typical High $1,174.90 | Facility | None | $245.47 | $323.59 | $1,174.90 |
Providence Setting Professional Modifier None (both parts) Typical Low $162.18 Median $245.47 Typical High $371.54 | Professional | None (both parts) | $162.18 | $245.47 | $371.54 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $57.54 Typical High $89.13 | Professional | 26 · Professional part | $41.69 | $57.54 | $89.13 |
Providence Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $177.83 Typical High $257.04 | Professional | TC · Technical part | $120.23 | $177.83 | $257.04 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,071.52 Median $1,479.11 Typical High $1,698.24 | Facility | None | $1,071.52 | $1,479.11 | $1,698.24 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $204.17 Median $218.78 Typical High $331.13 | Professional | None (both parts) | $204.17 | $218.78 | $331.13 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $58.88 Typical High $85.11 | Professional | 26 · Professional part | $51.29 | $58.88 | $85.11 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $158.49 Typical High $239.88 | Professional | TC · Technical part | $147.91 | $158.49 | $239.88 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,380.38 Typical High $1,737.80 | Facility | None | $1,096.48 | $1,380.38 | $1,737.80 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $229.09 Typical High $371.54 | Professional | None (both parts) | $114.82 | $229.09 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $50.12 Typical High $89.13 | Professional | 26 · Professional part | $28.84 | $50.12 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $181.97 Typical High $269.15 | Professional | TC · Technical part | $87.10 | $181.97 | $269.15 |
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 $58.88 Median $102.33 Typical High $102.33 | Professional | 52 · Reduced service | $58.88 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $40.74 Typical High $40.74 | Professional | 53 · Discontinued | $23.44 | $40.74 | $40.74 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $58.88 Median $102.33 Typical High $102.33 | Professional | 52 · Reduced service | $58.88 | $102.33 | $102.33 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $40.74 Typical High $40.74 | Professional | 53 · Discontinued | $23.44 | $40.74 | $40.74 |
Where Oregon sits
The same service costs 3.5 times more in Alaska than in Texas. 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
$204
AK $355TX $100
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.