How much rates vary
Facilitymedian $195 · 10th to 90th $41 to $398Professionalmedian $245 · 10th to 90th $129 to $389
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 $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $190.55 Typical High $190.55 | Professional | None (both parts) | $102.33 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $31.62 Typical High $31.62 | Professional | 26 · Professional part | $20.89 | $31.62 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $158.49 Typical High $158.49 | Professional | TC · Technical part | $81.28 | $158.49 | $158.49 |
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 $128.82 Median $234.42 Typical High $416.87 | Professional | None (both parts) | $128.82 | $234.42 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $39.81 Typical High $69.18 | Professional | 26 · Professional part | $27.54 | $39.81 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $190.55 Typical High $346.74 | Professional | TC · Technical part | $104.71 | $190.55 | $346.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $263.03 Median $302.00 Typical High $380.19 | Professional | None | $263.03 | $302.00 | $380.19 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $51.29 Typical High $61.66 | Professional | 26 · Professional part | $43.65 | $51.29 | $61.66 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $251.19 Typical High $316.23 | Professional | TC · Technical part | $218.78 | $251.19 | $316.23 |
Moda Health Setting Facility Modifier None Typical Low $194.98 Median $309.03 Typical High $812.83 | Facility | None | $194.98 | $309.03 | $812.83 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $112.20 Median $190.55 Typical High $346.74 | Professional | None (both parts) | $112.20 | $190.55 | $346.74 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $31.62 Typical High $60.26 | Professional | 26 · Professional part | $20.89 | $31.62 | $60.26 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $158.49 Typical High $295.12 | Professional | TC · Technical part | $91.20 | $158.49 | $295.12 |
Pacific Source Setting Facility Modifier None Typical Low $37.15 Median $162.18 Typical High $245.47 | Facility | None | $37.15 | $162.18 | $245.47 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $31.62 Median $31.62 Typical High $120.23 | Professional | None (both parts) | $31.62 | $31.62 | $120.23 |
Providence Setting Facility Modifier None Typical Low $239.88 Median $363.08 Typical High $588.84 | Facility | None | $239.88 | $363.08 | $588.84 |
Providence Setting Professional Modifier None (both parts) Typical Low $190.55 Median $263.03 Typical High $398.11 | Professional | None (both parts) | $190.55 | $263.03 | $398.11 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $46.77 Typical High $67.61 | Professional | 26 · Professional part | $33.11 | $46.77 | $67.61 |
Providence Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $194.98 Typical High $331.13 | Professional | TC · Technical part | $128.82 | $194.98 | $331.13 |
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 $218.78 Median $263.03 Typical High $380.19 | Professional | None (both parts) | $218.78 | $263.03 | $380.19 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $44.67 Typical High $63.10 | Professional | 26 · Professional part | $42.66 | $44.67 | $63.10 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $218.78 Typical High $316.23 | Professional | TC · Technical part | $181.97 | $218.78 | $316.23 |
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 $109.65 Median $218.78 Typical High $398.11 | Professional | None (both parts) | $109.65 | $218.78 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $42.66 Typical High $74.13 | Professional | 26 · Professional part | $24.55 | $42.66 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $177.83 Typical High $331.13 | Professional | TC · Technical part | $85.11 | $177.83 | $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 $56.23 Median $95.50 Typical High $95.50 | Professional | 52 · Reduced service | $56.23 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $38.02 Typical High $38.02 | Professional | 53 · Discontinued | $22.91 | $38.02 | $38.02 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $95.50 Typical High $95.50 | Professional | 52 · Reduced service | $56.23 | $95.50 | $95.50 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $38.02 Typical High $38.02 | Professional | 53 · Discontinued | $22.91 | $38.02 | $38.02 |
Where Oregon sits
The same service costs 4.2 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
$224
AK $398UT $95.50
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.