How much rates vary
Facilitymedian $309 · 10th to 90th $105 to $676Professionalmedian $363 · 10th to 90th $178 to $550
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 None Typical Low $371.54 Median $398.11 Typical High $457.09 | Facility | None | $371.54 | $398.11 | $457.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $354.81 Typical High $416.87 | Professional | None (both parts) | $190.55 | $354.81 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $85.11 Typical High $93.33 | Professional | 26 · Professional part | $50.12 | $85.11 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $281.84 Typical High $323.59 | Professional | TC · Technical part | $131.83 | $281.84 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $562.34 Typical High $562.34 | Facility | None | $131.83 | $562.34 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $186.21 Typical High $588.84 | Professional | None (both parts) | $177.83 | $186.21 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $56.23 Typical High $165.96 | Professional | 26 · Professional part | $53.70 | $56.23 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $131.83 Typical High $416.87 | Professional | TC · Technical part | $123.03 | $131.83 | $416.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $331.13 Median $380.19 Typical High $467.74 | Professional | None | $331.13 | $380.19 | $467.74 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $123.03 Typical High $144.54 | Professional | 26 · Professional part | $102.33 | $123.03 | $144.54 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $257.04 Typical High $331.13 | Professional | TC · Technical part | $223.87 | $257.04 | $331.13 |
Moda Health Setting Facility Modifier None Typical Low $288.40 Median $602.56 Typical High $1,819.70 | Facility | None | $288.40 | $602.56 | $1,819.70 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $151.36 Median $354.81 Typical High $524.81 | Professional | None (both parts) | $151.36 | $354.81 | $524.81 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $85.11 Typical High $173.78 | Professional | 26 · Professional part | $53.70 | $85.11 | $173.78 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $281.84 Typical High $389.05 | Professional | TC · Technical part | $134.90 | $281.84 | $389.05 |
Pacific Source Setting Facility Modifier None Typical Low $89.13 Median $229.09 Typical High $426.58 | Facility | None | $89.13 | $229.09 | $426.58 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $234.42 | Professional | None (both parts) | $114.82 | $114.82 | $234.42 |
Providence Setting Facility Modifier None Typical Low $371.54 Median $524.81 Typical High $724.44 | Facility | None | $371.54 | $524.81 | $724.44 |
Providence Setting Professional Modifier None (both parts) Typical Low $177.83 Median $407.38 Typical High $562.34 | Professional | None (both parts) | $177.83 | $407.38 | $562.34 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $107.15 Typical High $162.18 | Professional | 26 · Professional part | $53.70 | $107.15 | $162.18 |
Providence Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $302.00 Typical High $436.52 | Professional | TC · Technical part | $123.03 | $302.00 | $436.52 |
Regence BlueShield Setting Facility Modifier None Typical Low $524.81 Median $741.31 Typical High $851.14 | Facility | None | $524.81 | $741.31 | $851.14 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $316.23 Median $331.13 Typical High $512.86 | Professional | None (both parts) | $316.23 | $331.13 | $512.86 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $107.15 Typical High $151.36 | Professional | 26 · Professional part | $100.00 | $107.15 | $151.36 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $229.09 Typical High $346.74 | Professional | TC · Technical part | $218.78 | $229.09 | $346.74 |
United Setting Facility Modifier None Typical Low $562.34 Median $691.83 Typical High $870.96 | Facility | None | $562.34 | $691.83 | $870.96 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $346.74 Typical High $588.84 | Professional | None (both parts) | $165.96 | $346.74 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $100.00 Typical High $177.83 | Professional | 26 · Professional part | $50.12 | $100.00 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $251.19 Typical High $398.11 | Professional | TC · Technical part | $117.49 | $251.19 | $398.11 |
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 $87.10 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $87.10 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $34.67 | $74.13 | $74.13 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $85.11 | $186.21 | $186.21 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $33.88 | $74.13 | $74.13 |
Where Oregon sits
The same service costs 5.4 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· 12th of 51
$339
AK $676UT $126
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.