How much rates vary
Facilitymedian $447 · 10th to 90th $158 to $832Professionalmedian $589 · 10th to 90th $324 to $933
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 $457.09 Median $457.09 Typical High $741.31 | Facility | None | $457.09 | $457.09 | $741.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $371.54 Typical High $562.34 | Professional | None (both parts) | $323.59 | $371.54 | $562.34 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $85.11 Typical High $131.83 | Professional | 26 · Professional part | $83.18 | $85.11 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $281.84 Typical High $436.52 | Professional | TC · Technical part | $239.88 | $281.84 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $562.34 Typical High $562.34 | Facility | None | $257.04 | $562.34 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $346.74 Typical High $1,000.00 | Professional | None (both parts) | $323.59 | $346.74 | $1,000.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $89.13 Typical High $263.03 | Professional | 26 · Professional part | $85.11 | $89.13 | $263.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $257.04 Typical High $758.58 | Professional | TC · Technical part | $239.88 | $257.04 | $758.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $602.56 Median $691.83 Typical High $870.96 | Professional | None | $602.56 | $691.83 | $870.96 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $190.55 Typical High $223.87 | Professional | 26 · Professional part | $158.49 | $190.55 | $223.87 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $512.86 Typical High $645.65 | Professional | TC · Technical part | $436.52 | $512.86 | $645.65 |
Moda Health Setting Facility Modifier None Typical Low $407.38 Median $891.25 Typical High $2,238.72 | Facility | None | $407.38 | $891.25 | $2,238.72 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $346.74 Median $478.63 Typical High $933.25 | Professional | None (both parts) | $346.74 | $478.63 | $933.25 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $97.72 Typical High $229.09 | Professional | 26 · Professional part | $85.11 | $97.72 | $229.09 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $380.19 Typical High $645.65 | Professional | TC · Technical part | $263.03 | $380.19 | $645.65 |
Pacific Source Setting Facility Modifier None Typical Low $141.25 Median $407.38 Typical High $645.65 | Facility | None | $141.25 | $407.38 | $645.65 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $457.09 | Professional | None (both parts) | $177.83 | $177.83 | $457.09 |
Providence Setting Facility Modifier None Typical Low $371.54 Median $851.14 Typical High $1,258.93 | Facility | None | $371.54 | $851.14 | $1,258.93 |
Providence Setting Professional Modifier None (both parts) Typical Low $323.59 Median $660.69 Typical High $977.24 | Professional | None (both parts) | $323.59 | $660.69 | $977.24 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $169.82 Typical High $251.19 | Professional | 26 · Professional part | $85.11 | $169.82 | $251.19 |
Providence Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $478.63 Typical High $776.25 | Professional | TC · Technical part | $239.88 | $478.63 | $776.25 |
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 $588.84 Median $616.60 Typical High $870.96 | Professional | None (both parts) | $588.84 | $616.60 | $870.96 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $165.96 Typical High $239.88 | Professional | 26 · Professional part | $158.49 | $165.96 | $239.88 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $446.68 Typical High $645.65 | Professional | TC · Technical part | $426.58 | $446.68 | $645.65 |
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 $281.84 Median $602.56 Typical High $1,023.29 | Professional | None (both parts) | $281.84 | $602.56 | $1,023.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $158.49 Typical High $275.42 | Professional | 26 · Professional part | $79.43 | $158.49 | $275.42 |
United Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $426.58 Typical High $776.25 | Professional | TC · Technical part | $199.53 | $426.58 | $776.25 |
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 $134.90 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $134.90 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $54.95 | $74.13 | $74.13 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $128.82 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $128.82 | $186.21 | $186.21 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $51.29 | $74.13 | $74.13 |
Where Oregon sits
The same service costs 6.0 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
$550
AK $1,023UT $170
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.