How much rates vary
Facilitymedian $162 · 10th to 90th $65 to $537Professionalmedian $224 · 10th to 90th $123 to $355
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 $213.80 Median $245.47 Typical High $281.84 | Facility | None | $213.80 | $245.47 | $281.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $173.78 Typical High $223.87 | Professional | None (both parts) | $100.00 | $173.78 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $52.48 Typical High $60.26 | Professional | 26 · Professional part | $30.20 | $52.48 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $123.03 Typical High $165.96 | Professional | TC · Technical part | $70.79 | $123.03 | $165.96 |
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 $134.90 Median $213.80 Typical High $380.19 | Professional | None (both parts) | $134.90 | $213.80 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $63.10 Typical High $114.82 | Professional | 26 · Professional part | $40.74 | $63.10 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $151.36 Typical High $263.03 | Professional | TC · Technical part | $93.33 | $151.36 | $263.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $245.47 Median $281.84 Typical High $346.74 | Professional | None | $245.47 | $281.84 | $346.74 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $87.10 Typical High $102.33 | Professional | 26 · Professional part | $72.44 | $87.10 | $102.33 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $194.98 Typical High $245.47 | Professional | TC · Technical part | $169.82 | $194.98 | $245.47 |
Moda Health Setting Facility Modifier None Typical Low $194.98 Median $275.42 Typical High $776.25 | Facility | None | $194.98 | $275.42 | $776.25 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $151.36 Median $208.93 Typical High $691.83 | Facility | TC · Technical part | $151.36 | $208.93 | $691.83 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $112.20 Median $173.78 Typical High $316.23 | Professional | None (both parts) | $112.20 | $173.78 | $316.23 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $58.88 Typical High $120.23 | Professional | 26 · Professional part | $33.88 | $58.88 | $120.23 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $123.03 Typical High $199.53 | Professional | TC · Technical part | $72.44 | $123.03 | $199.53 |
Pacific Source Setting Facility Modifier None Typical Low $61.66 Median $134.90 Typical High $239.88 | Facility | None | $61.66 | $134.90 | $239.88 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $40.74 Median $87.10 Typical High $173.78 | Professional | None (both parts) | $40.74 | $87.10 | $173.78 |
Providence Setting Facility Modifier None Typical Low $239.88 Median $331.13 Typical High $562.34 | Facility | None | $239.88 | $331.13 | $562.34 |
Providence Setting Professional Modifier None (both parts) Typical Low $181.97 Median $239.88 Typical High $363.08 | Professional | None (both parts) | $181.97 | $239.88 | $363.08 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $69.18 Typical High $109.65 | Professional | 26 · Professional part | $51.29 | $69.18 | $109.65 |
Providence Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $165.96 Typical High $251.19 | Professional | TC · Technical part | $109.65 | $165.96 | $251.19 |
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 $213.80 Median $239.88 Typical High $346.74 | Professional | None (both parts) | $213.80 | $239.88 | $346.74 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $74.13 Typical High $104.71 | Professional | 26 · Professional part | $63.10 | $74.13 | $104.71 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $165.96 Typical High $239.88 | Professional | TC · Technical part | $151.36 | $165.96 | $239.88 |
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 $114.82 Median $208.93 Typical High $363.08 | Professional | None (both parts) | $114.82 | $208.93 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $69.18 Typical High $123.03 | Professional | 26 · Professional part | $36.31 | $69.18 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $138.04 Typical High $251.19 | Professional | TC · Technical part | $79.43 | $138.04 | $251.19 |
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 $56.23 Median $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $56.23 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $35.48 Typical High $35.48 | Professional | 53 · Discontinued | $22.39 | $35.48 | $35.48 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $52.48 | $87.10 | $87.10 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $35.48 Typical High $35.48 | Professional | 53 · Discontinued | $20.89 | $35.48 | $35.48 |
Where Oregon sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 10th of 51
$209
AK $363FL $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.