How much rates vary
Facilitymedian $138 · 10th to 90th $45 to $525Professionalmedian $174 · 10th to 90th $98 to $282
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 $138.04 Median $173.78 Typical High $239.88 | Facility | None | $138.04 | $173.78 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $141.25 Typical High $173.78 | Professional | None (both parts) | $81.28 | $141.25 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $39.81 Typical High $44.67 | Professional | 26 · Professional part | $19.95 | $39.81 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $100.00 Typical High $128.82 | Professional | TC · Technical part | $61.66 | $100.00 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $562.34 Typical High $660.69 | Facility | None | $380.19 | $562.34 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $169.82 Typical High $302.00 | Professional | None (both parts) | $104.71 | $169.82 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $46.77 Typical High $85.11 | Professional | 26 · Professional part | $27.54 | $46.77 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $125.89 Typical High $213.80 | Professional | TC · Technical part | $77.62 | $125.89 | $213.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $186.21 Median $218.78 Typical High $269.15 | Professional | None | $186.21 | $218.78 | $269.15 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $63.10 Typical High $75.86 | Professional | 26 · Professional part | $52.48 | $63.10 | $75.86 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $154.88 Typical High $194.98 | Professional | TC · Technical part | $131.83 | $154.88 | $194.98 |
Moda Health Setting Facility Modifier None Typical Low $147.91 Median $251.19 Typical High $660.69 | Facility | None | $147.91 | $251.19 | $660.69 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $125.89 Median $512.86 Typical High $794.33 | Facility | TC · Technical part | $125.89 | $512.86 | $794.33 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $91.20 Median $141.25 Typical High $257.04 | Professional | None (both parts) | $91.20 | $141.25 | $257.04 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $39.81 Typical High $89.13 | Professional | 26 · Professional part | $22.39 | $39.81 | $89.13 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $102.33 Typical High $177.83 | Professional | TC · Technical part | $67.61 | $102.33 | $177.83 |
Pacific Source Setting Facility Modifier None Typical Low $42.66 Median $112.20 Typical High $190.55 | Facility | None | $42.66 | $112.20 | $190.55 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $194.98 | Professional | None (both parts) | $89.13 | $89.13 | $194.98 |
Providence Setting Facility Modifier None Typical Low $194.98 Median $263.03 Typical High $562.34 | Facility | None | $194.98 | $263.03 | $562.34 |
Providence Setting Professional Modifier None (both parts) Typical Low $144.54 Median $190.55 Typical High $288.40 | Professional | None (both parts) | $144.54 | $190.55 | $288.40 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $48.98 Typical High $81.28 | Professional | 26 · Professional part | $36.31 | $48.98 | $81.28 |
Providence Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $134.90 Typical High $204.17 | Professional | TC · Technical part | $95.50 | $134.90 | $204.17 |
Regence BlueShield Setting Facility Modifier None Typical Low $512.86 Median $724.44 Typical High $831.76 | Facility | None | $512.86 | $724.44 | $831.76 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $169.82 Median $190.55 Typical High $275.42 | Professional | None (both parts) | $169.82 | $190.55 | $275.42 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $54.95 Typical High $79.43 | Professional | 26 · Professional part | $46.77 | $54.95 | $79.43 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $134.90 Typical High $194.98 | Professional | TC · Technical part | $125.89 | $134.90 | $194.98 |
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 $89.13 Median $165.96 Typical High $295.12 | Professional | None (both parts) | $89.13 | $165.96 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $51.29 Typical High $91.20 | Professional | 26 · Professional part | $23.99 | $51.29 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $114.82 Typical High $204.17 | Professional | TC · Technical part | $66.07 | $114.82 | $204.17 |
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 $44.67 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $44.67 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $17.78 | $28.18 | $28.18 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $41.69 | $70.79 | $70.79 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $16.60 | $28.18 | $28.18 |
Where Oregon sits
The same service costs 3.8 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· 9th of 51
$166
AK $282UT $74.13
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.