How much rates vary
Facilitymedian $324 · 10th to 90th $110 to $692Professionalmedian $389 · 10th to 90th $209 to $646
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 $1,096.48 Median $1,096.48 Typical High $1,412.54 | Facility | TC · Technical part | $1,096.48 | $1,096.48 | $1,412.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $371.54 Typical High $436.52 | Professional | None (both parts) | $213.80 | $371.54 | $436.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $85.11 Typical High $89.13 | Professional | 26 · Professional part | $52.48 | $85.11 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $281.84 Typical High $371.54 | Professional | TC · Technical part | $151.36 | $281.84 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $562.34 Typical High $562.34 | Facility | None | $158.49 | $562.34 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $218.78 Typical High $707.95 | Professional | None (both parts) | $208.93 | $218.78 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $58.88 Typical High $173.78 | Professional | 26 · Professional part | $56.23 | $58.88 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $173.78 Typical High $512.86 | Professional | TC · Technical part | $151.36 | $173.78 | $512.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $389.05 Median $446.68 Typical High $562.34 | Professional | None | $389.05 | $446.68 | $562.34 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $125.89 Typical High $151.36 | Professional | 26 · Professional part | $107.15 | $125.89 | $151.36 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $316.23 Typical High $407.38 | Professional | TC · Technical part | $275.42 | $316.23 | $407.38 |
Moda Health Setting Facility Modifier None Typical Low $371.54 Median $758.58 Typical High $1,096.48 | Facility | None | $371.54 | $758.58 | $1,096.48 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $251.19 Median $371.54 Typical High $588.84 | Professional | None (both parts) | $251.19 | $371.54 | $588.84 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $85.11 Typical High $141.25 | Professional | 26 · Professional part | $56.23 | $85.11 | $141.25 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $281.84 Typical High $416.87 | Professional | TC · Technical part | $190.55 | $281.84 | $416.87 |
Pacific Source Setting Facility Modifier None Typical Low $100.00 Median $281.84 Typical High $524.81 | Facility | None | $100.00 | $281.84 | $524.81 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $69.18 Median $144.54 Typical High $371.54 | Professional | None (both parts) | $69.18 | $144.54 | $371.54 |
Providence Setting Facility Modifier None Typical Low $371.54 Median $588.84 Typical High $912.01 | Facility | None | $371.54 | $588.84 | $912.01 |
Providence Setting Professional Modifier None (both parts) Typical Low $208.93 Median $489.78 Typical High $691.83 | Professional | None (both parts) | $208.93 | $489.78 | $691.83 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $112.20 Typical High $165.96 | Professional | 26 · Professional part | $56.23 | $112.20 | $165.96 |
Providence Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $380.19 Typical High $562.34 | Professional | TC · Technical part | $151.36 | $380.19 | $562.34 |
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 $371.54 Median $389.05 Typical High $602.56 | Professional | None (both parts) | $371.54 | $389.05 | $602.56 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $112.20 Typical High $158.49 | Professional | 26 · Professional part | $104.71 | $112.20 | $158.49 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $281.84 Typical High $426.58 | Professional | TC · Technical part | $269.15 | $281.84 | $426.58 |
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 $199.53 Median $416.87 Typical High $691.83 | Professional | None (both parts) | $199.53 | $416.87 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $104.71 Typical High $186.21 | Professional | 26 · Professional part | $52.48 | $104.71 | $186.21 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $323.59 Typical High $501.19 | Professional | TC · Technical part | $147.91 | $323.59 | $501.19 |
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 $102.33 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $102.33 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $40.74 | $74.13 | $74.13 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $100.00 | $186.21 | $186.21 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $39.81 | $74.13 | $74.13 |
Where Oregon sits
The same service costs 5.1 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· 13th of 51
$389
AK $776UT $151
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.