How much rates vary
Facilitymedian $257 · 10th to 90th $148 to $513Professionalmedian $457 · 10th to 90th $251 to $741
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 Professional Modifier None (both parts) Typical Low $194.98 Median $371.54 Typical High $371.54 | Professional | None (both parts) | $194.98 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $138.04 Typical High $138.04 | Professional | 26 · Professional part | $95.50 | $138.04 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $234.42 Typical High $234.42 | Professional | TC · Technical part | $100.00 | $234.42 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $199.53 Typical High $562.34 | Facility | None | $158.49 | $199.53 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $446.68 Typical High $741.31 | Professional | None (both parts) | $302.00 | $446.68 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $162.18 Typical High $275.42 | Professional | 26 · Professional part | $131.83 | $162.18 | $275.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $281.84 Typical High $457.09 | Professional | TC · Technical part | $177.83 | $281.84 | $457.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $501.19 Median $616.60 Typical High $776.25 | Professional | None | $501.19 | $616.60 | $776.25 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $223.87 Typical High $269.15 | Professional | 26 · Professional part | $194.98 | $223.87 | $269.15 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $389.05 Typical High $501.19 | Professional | TC · Technical part | $338.84 | $389.05 | $501.19 |
Moda Health Setting Facility Modifier None Typical Low $371.54 Median $501.19 Typical High $549.54 | Facility | None | $371.54 | $501.19 | $549.54 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $288.40 Median $371.54 Typical High $616.60 | Professional | None (both parts) | $288.40 | $371.54 | $616.60 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $138.04 Typical High $269.15 | Professional | 26 · Professional part | $112.20 | $138.04 | $269.15 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $234.42 Typical High $416.87 | Professional | TC · Technical part | $169.82 | $234.42 | $416.87 |
Pacific Source Setting Facility Modifier None Typical Low $141.25 Median $257.04 Typical High $467.74 | Facility | None | $141.25 | $257.04 | $467.74 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $114.82 Median $181.97 Typical High $245.47 | Professional | None (both parts) | $114.82 | $181.97 | $245.47 |
Providence Setting Facility Modifier None Typical Low $162.18 Median $251.19 Typical High $676.08 | Facility | None | $162.18 | $251.19 | $676.08 |
Providence Setting Professional Modifier None (both parts) Typical Low $363.08 Median $478.63 Typical High $741.31 | Professional | None (both parts) | $363.08 | $478.63 | $741.31 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $186.21 Typical High $288.40 | Professional | 26 · Professional part | $144.54 | $186.21 | $288.40 |
Providence Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $275.42 Typical High $467.74 | Professional | TC · Technical part | $177.83 | $275.42 | $467.74 |
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 $457.09 Median $501.19 Typical High $660.69 | Professional | None (both parts) | $457.09 | $501.19 | $660.69 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $190.55 Typical High $263.03 | Professional | 26 · Professional part | $181.97 | $190.55 | $263.03 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $309.03 Typical High $407.38 | Professional | TC · Technical part | $281.84 | $309.03 | $407.38 |
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 $208.93 Median $251.19 Typical High $741.31 | Professional | None (both parts) | $208.93 | $251.19 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $107.15 Typical High $302.00 | Professional | 26 · Professional part | $107.15 | $107.15 | $302.00 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $147.91 Typical High $457.09 | Professional | TC · Technical part | $107.15 | $147.91 | $457.09 |
5 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 Facility Modifier 53 · Discontinued Typical Low $181.97 Median $181.97 Typical High $234.42 | Facility | 53 · Discontinued | $181.97 | $181.97 | $234.42 |
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 $53.70 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $53.70 | $74.13 | $74.13 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $158.49 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $158.49 | $186.21 | $186.21 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $63.10 | $74.13 | $74.13 |
Where Oregon sits
The same service costs 5.4 times more in Alaska than in Texas. 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
$389
AK $741TX $138
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.