How much rates vary
Facilitymedian $107 · 10th to 90th $34 to $1,047Professionalmedian $151 · 10th to 90th $100 to $240
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 $181.97 Median $181.97 Typical High $186.21 | Facility | None | $181.97 | $181.97 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $138.04 Typical High $208.93 | Professional | None (both parts) | $91.20 | $138.04 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $33.88 Typical High $40.74 | Professional | 26 · Professional part | $15.85 | $33.88 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $91.20 Typical High $199.53 | Professional | TC · Technical part | $64.57 | $91.20 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $1,174.90 Typical High $1,318.26 | Facility | None | $776.25 | $1,174.90 | $1,318.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $147.91 Typical High $251.19 | Professional | None (both parts) | $117.49 | $147.91 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $39.81 Typical High $74.13 | Professional | 26 · Professional part | $23.44 | $39.81 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $107.15 Typical High $194.98 | Professional | TC · Technical part | $83.18 | $107.15 | $194.98 |
Kaiser Permanente Setting Professional Modifier None Typical Low $162.18 Median $186.21 Typical High $234.42 | Professional | None | $162.18 | $186.21 | $234.42 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $56.23 Typical High $67.61 | Professional | 26 · Professional part | $47.86 | $56.23 | $67.61 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $128.82 Typical High $165.96 | Professional | TC · Technical part | $112.20 | $128.82 | $165.96 |
Moda Health Setting Facility Modifier None Typical Low $47.86 Median $186.21 Typical High $1,905.46 | Facility | None | $47.86 | $186.21 | $1,905.46 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $125.89 Median $851.14 Typical High $1,862.09 | Facility | TC · Technical part | $125.89 | $851.14 | $1,862.09 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $93.33 Median $151.36 Typical High $229.09 | Professional | None (both parts) | $93.33 | $151.36 | $229.09 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $33.88 Typical High $95.50 | Professional | 26 · Professional part | $17.78 | $33.88 | $95.50 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $109.65 Typical High $199.53 | Professional | TC · Technical part | $66.07 | $109.65 | $199.53 |
Pacific Source Setting Facility Modifier None Typical Low $31.62 Median $91.20 Typical High $154.88 | Facility | None | $31.62 | $91.20 | $154.88 |
Providence Setting Facility Modifier None Typical Low $47.86 Median $229.09 Typical High $1,174.90 | Facility | None | $47.86 | $229.09 | $1,174.90 |
Providence Setting Professional Modifier None (both parts) Typical Low $117.49 Median $162.18 Typical High $239.88 | Professional | None (both parts) | $117.49 | $162.18 | $239.88 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $40.74 Typical High $70.79 | Professional | 26 · Professional part | $29.51 | $40.74 | $70.79 |
Providence Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $117.49 Typical High $177.83 | Professional | TC · Technical part | $83.18 | $117.49 | $177.83 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,071.52 Median $1,479.11 Typical High $1,698.24 | Facility | None | $1,071.52 | $1,479.11 | $1,698.24 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $144.54 Median $151.36 Typical High $229.09 | Professional | None (both parts) | $144.54 | $151.36 | $229.09 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $46.77 Typical High $67.61 | Professional | 26 · Professional part | $40.74 | $46.77 | $67.61 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $104.71 Typical High $162.18 | Professional | TC · Technical part | $97.72 | $104.71 | $162.18 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,380.38 Typical High $1,737.80 | Facility | None | $1,096.48 | $1,380.38 | $1,737.80 |
United Setting Professional Modifier None (both parts) Typical Low $75.86 Median $154.88 Typical High $281.84 | Professional | None (both parts) | $75.86 | $154.88 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $40.74 Typical High $77.62 | Professional | 26 · Professional part | $18.62 | $40.74 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $104.71 Typical High $263.03 | Professional | TC · Technical part | $48.98 | $104.71 | $263.03 |
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 $33.88 Median $53.70 Typical High $53.70 | Professional | 52 · Reduced service | $33.88 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $21.38 Typical High $21.38 | Professional | 53 · Discontinued | $13.49 | $21.38 | $21.38 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $31.62 Median $53.70 Typical High $53.70 | Professional | 52 · Reduced service | $31.62 | $53.70 | $53.70 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $21.38 Typical High $21.38 | Professional | 53 · Discontinued | $12.59 | $21.38 | $21.38 |
Where Oregon sits
The same service costs 5.4 times more in New York 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· 15th of 51
$148
NY $355TX $66.07
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.