How much rates vary
Facilitymedian $178 · 10th to 90th $50 to $617Professionalmedian $240 · 10th to 90th $129 to $372
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 $602.56 Median $602.56 Typical High $776.25 | Facility | TC · Technical part | $602.56 | $602.56 | $776.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $194.98 Typical High $251.19 | Professional | None (both parts) | $112.20 | $194.98 | $251.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $38.02 Typical High $45.71 | Professional | 26 · Professional part | $25.70 | $38.02 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $154.88 Typical High $204.17 | Professional | TC · Technical part | $87.10 | $154.88 | $204.17 |
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 $134.90 Median $218.78 Typical High $380.19 | Professional | None (both parts) | $134.90 | $218.78 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $47.86 Typical High $83.18 | Professional | 26 · Professional part | $33.11 | $47.86 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $169.82 Typical High $309.03 | Professional | TC · Technical part | $100.00 | $169.82 | $309.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $263.03 Median $302.00 Typical High $380.19 | Professional | None | $263.03 | $302.00 | $380.19 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $64.57 Typical High $75.86 | Professional | 26 · Professional part | $53.70 | $64.57 | $75.86 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $239.88 Typical High $309.03 | Professional | TC · Technical part | $208.93 | $239.88 | $309.03 |
Moda Health Setting Facility Modifier None Typical Low $194.98 Median $257.04 Typical High $309.03 | Facility | None | $194.98 | $257.04 | $309.03 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $114.82 Median $194.98 Typical High $323.59 | Professional | None (both parts) | $114.82 | $194.98 | $323.59 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $38.02 Typical High $72.44 | Professional | 26 · Professional part | $27.54 | $38.02 | $72.44 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $154.88 Typical High $257.04 | Professional | TC · Technical part | $87.10 | $154.88 | $257.04 |
Pacific Source Setting Facility Modifier None Typical Low $44.67 Median $144.54 Typical High $245.47 | Facility | None | $44.67 | $144.54 | $245.47 |
Providence Setting Facility Modifier None Typical Low $223.87 Median $346.74 Typical High $1,174.90 | Facility | None | $223.87 | $346.74 | $1,174.90 |
Providence Setting Professional Modifier None (both parts) Typical Low $173.78 Median $245.47 Typical High $371.54 | Professional | None (both parts) | $173.78 | $245.47 | $371.54 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $54.95 Typical High $79.43 | Professional | 26 · Professional part | $38.90 | $54.95 | $79.43 |
Providence Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $173.78 Typical High $295.12 | Professional | TC · Technical part | $114.82 | $173.78 | $295.12 |
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 $208.93 Median $251.19 Typical High $363.08 | Professional | None (both parts) | $208.93 | $251.19 | $363.08 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $52.48 Typical High $75.86 | Professional | 26 · Professional part | $50.12 | $52.48 | $75.86 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $199.53 Typical High $288.40 | Professional | TC · Technical part | $162.18 | $199.53 | $288.40 |
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 $104.71 Median $218.78 Typical High $389.05 | Professional | None (both parts) | $104.71 | $218.78 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $51.29 Typical High $87.10 | Professional | 26 · Professional part | $29.51 | $51.29 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $165.96 Typical High $302.00 | Professional | TC · Technical part | $79.43 | $165.96 | $302.00 |
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 $54.95 Median $95.50 Typical High $95.50 | Professional | 52 · Reduced service | $54.95 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $38.90 Typical High $38.90 | Professional | 53 · Discontinued | $21.88 | $38.90 | $38.90 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $95.50 Typical High $95.50 | Professional | 52 · Reduced service | $54.95 | $95.50 | $95.50 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $38.90 Typical High $38.90 | Professional | 53 · Discontinued | $21.88 | $38.90 | $38.90 |
Where Oregon sits
The same service costs 3.9 times more in Alaska than in New York. 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
$214
AK $380NY $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.