How much rates vary
Facilitymedian $186 · 10th to 90th $66 to $562Professionalmedian $245 · 10th to 90th $135 to $398
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 $245.47 Median $281.84 Typical High $316.23 | Facility | None | $245.47 | $281.84 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $199.53 Typical High $245.47 | Professional | None (both parts) | $109.65 | $199.53 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $58.88 Typical High $66.07 | Professional | 26 · Professional part | $30.20 | $58.88 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $144.54 Typical High $181.97 | Professional | TC · Technical part | $79.43 | $144.54 | $181.97 |
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 $147.91 Median $245.47 Typical High $426.58 | Professional | None (both parts) | $147.91 | $245.47 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $70.79 Typical High $128.82 | Professional | 26 · Professional part | $40.74 | $70.79 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $177.83 Typical High $295.12 | Professional | TC · Technical part | $109.65 | $177.83 | $295.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $269.15 Median $309.03 Typical High $380.19 | Professional | None | $269.15 | $309.03 | $380.19 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $95.50 Typical High $112.20 | Professional | 26 · Professional part | $79.43 | $95.50 | $112.20 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $218.78 Typical High $269.15 | Professional | TC · Technical part | $186.21 | $218.78 | $269.15 |
Moda Health Setting Facility Modifier None Typical Low $213.80 Median $354.81 Typical High $870.96 | Facility | None | $213.80 | $354.81 | $870.96 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $177.83 Median $562.34 Typical High $758.58 | Facility | TC · Technical part | $177.83 | $562.34 | $758.58 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $125.89 Median $199.53 Typical High $363.08 | Professional | None (both parts) | $125.89 | $199.53 | $363.08 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $58.88 Typical High $114.82 | Professional | 26 · Professional part | $33.88 | $58.88 | $114.82 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $144.54 Typical High $229.09 | Professional | TC · Technical part | $89.13 | $144.54 | $229.09 |
Pacific Source Setting Facility Modifier None Typical Low $66.07 Median $162.18 Typical High $269.15 | Facility | None | $66.07 | $162.18 | $269.15 |
Providence Setting Facility Modifier None Typical Low $275.42 Median $371.54 Typical High $602.56 | Facility | None | $275.42 | $371.54 | $602.56 |
Providence Setting Professional Modifier None (both parts) Typical Low $204.17 Median $275.42 Typical High $407.38 | Professional | None (both parts) | $204.17 | $275.42 | $407.38 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $70.79 Typical High $123.03 | Professional | 26 · Professional part | $52.48 | $70.79 | $123.03 |
Providence Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $190.55 Typical High $281.84 | Professional | TC · Technical part | $131.83 | $190.55 | $281.84 |
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 $239.88 Median $269.15 Typical High $389.05 | Professional | None (both parts) | $239.88 | $269.15 | $389.05 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $83.18 Typical High $117.49 | Professional | 26 · Professional part | $69.18 | $83.18 | $117.49 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $190.55 Typical High $275.42 | Professional | TC · Technical part | $177.83 | $190.55 | $275.42 |
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 $128.82 Median $239.88 Typical High $416.87 | Professional | None (both parts) | $128.82 | $239.88 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $77.62 Typical High $138.04 | Professional | 26 · Professional part | $36.31 | $77.62 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $162.18 Typical High $288.40 | Professional | TC · Technical part | $93.33 | $162.18 | $288.40 |
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 $60.26 Median $100.00 Typical High $100.00 | Professional | 52 · Reduced service | $60.26 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $40.74 Typical High $40.74 | Professional | 53 · Discontinued | $24.55 | $40.74 | $40.74 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $58.88 Median $100.00 Typical High $100.00 | Professional | 52 · Reduced service | $58.88 | $100.00 | $100.00 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $40.74 Typical High $40.74 | Professional | 53 · Discontinued | $23.99 | $40.74 | $40.74 |
Where Oregon sits
The same service costs 3.9 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· 10th of 51
$234
AK $407UT $105
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.