How much rates vary
Facilitymedian $209 · 10th to 90th $68 to $537Professionalmedian $288 · 10th to 90th $151 to $447
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 $275.42 Typical High $380.19 | Facility | None | $213.80 | $275.42 | $380.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $223.87 Typical High $275.42 | Professional | None (both parts) | $109.65 | $223.87 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $67.61 Typical High $75.86 | Professional | 26 · Professional part | $31.62 | $67.61 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $154.88 Typical High $199.53 | Professional | TC · Technical part | $79.43 | $154.88 | $199.53 |
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 $177.83 Median $281.84 Typical High $467.74 | Professional | None (both parts) | $177.83 | $281.84 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $79.43 Typical High $147.91 | Professional | 26 · Professional part | $45.71 | $79.43 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $194.98 Typical High $338.84 | Professional | TC · Technical part | $134.90 | $194.98 | $338.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $295.12 Median $338.84 Typical High $426.58 | Professional | None | $295.12 | $338.84 | $426.58 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $109.65 Typical High $128.82 | Professional | 26 · Professional part | $91.20 | $109.65 | $128.82 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $234.42 Typical High $295.12 | Professional | TC · Technical part | $199.53 | $234.42 | $295.12 |
Moda Health Setting Facility Modifier None Typical Low $239.88 Median $363.08 Typical High $776.25 | Facility | None | $239.88 | $363.08 | $776.25 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $131.83 Median $223.87 Typical High $363.08 | Professional | None (both parts) | $131.83 | $223.87 | $363.08 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $67.61 Typical High $134.90 | Professional | 26 · Professional part | $33.88 | $67.61 | $134.90 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $154.88 Typical High $251.19 | Professional | TC · Technical part | $93.33 | $154.88 | $251.19 |
Pacific Source Setting Facility Modifier None Typical Low $66.07 Median $186.21 Typical High $295.12 | Facility | None | $66.07 | $186.21 | $295.12 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $56.23 Median $58.88 Typical High $123.03 | Professional | None (both parts) | $56.23 | $58.88 | $123.03 |
Providence Setting Facility Modifier None Typical Low $309.03 Median $407.38 Typical High $660.69 | Facility | None | $309.03 | $407.38 | $660.69 |
Providence Setting Professional Modifier None (both parts) Typical Low $229.09 Median $309.03 Typical High $446.68 | Professional | None (both parts) | $229.09 | $309.03 | $446.68 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $79.43 Typical High $141.25 | Professional | 26 · Professional part | $53.70 | $79.43 | $141.25 |
Providence Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $223.87 Typical High $309.03 | Professional | TC · Technical part | $154.88 | $223.87 | $309.03 |
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 $288.40 Median $302.00 Typical High $426.58 | Professional | None (both parts) | $288.40 | $302.00 | $426.58 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $95.50 Typical High $134.90 | Professional | 26 · Professional part | $72.44 | $95.50 | $134.90 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $204.17 Typical High $295.12 | Professional | TC · Technical part | $194.98 | $204.17 | $295.12 |
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 $151.36 Median $269.15 Typical High $467.74 | Professional | None (both parts) | $151.36 | $269.15 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $83.18 Typical High $158.49 | Professional | 26 · Professional part | $35.48 | $83.18 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $181.97 Typical High $331.13 | Professional | TC · Technical part | $104.71 | $181.97 | $331.13 |
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 $64.57 Median $112.20 Typical High $112.20 | Professional | 52 · Reduced service | $64.57 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $44.67 Typical High $44.67 | Professional | 53 · Discontinued | $25.70 | $44.67 | $44.67 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $112.20 Typical High $112.20 | Professional | 52 · Reduced service | $64.57 | $112.20 | $112.20 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $44.67 Typical High $44.67 | Professional | 53 · Discontinued | $25.70 | $44.67 | $44.67 |
Where Oregon sits
The same service costs 4.3 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
$269
AK $447UT $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.