How much rates vary
Facilitymedian $200 · 10th to 90th $34 to $776Professionalmedian $251 · 10th to 90th $132 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 TC · Technical part Typical Low $630.96 Median $630.96 Typical High $812.83 | Facility | TC · Technical part | $630.96 | $630.96 | $812.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $194.98 Typical High $194.98 | Professional | None (both parts) | $123.03 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $33.11 Typical High $33.11 | Professional | 26 · Professional part | $15.85 | $33.11 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $162.18 Typical High $181.97 | Professional | TC · Technical part | $102.33 | $162.18 | $181.97 |
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 $107.15 Median $229.09 Typical High $398.11 | Professional | None (both parts) | $107.15 | $229.09 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $38.90 Typical High $72.44 | Professional | 26 · Professional part | $22.91 | $38.90 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $190.55 Typical High $346.74 | Professional | TC · Technical part | $83.18 | $190.55 | $346.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $269.15 Median $309.03 Typical High $389.05 | Professional | None | $269.15 | $309.03 | $389.05 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $53.70 Typical High $64.57 | Professional | 26 · Professional part | $45.71 | $53.70 | $64.57 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $251.19 Typical High $323.59 | Professional | TC · Technical part | $218.78 | $251.19 | $323.59 |
Moda Health Setting Facility Modifier None Typical Low $38.90 Median $158.49 Typical High $281.84 | Facility | None | $38.90 | $158.49 | $281.84 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $134.90 Median $194.98 Typical High $346.74 | Professional | None (both parts) | $134.90 | $194.98 | $346.74 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $33.11 Typical High $63.10 | Professional | 26 · Professional part | $15.85 | $33.11 | $63.10 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $162.18 Typical High $288.40 | Professional | TC · Technical part | $109.65 | $162.18 | $288.40 |
Pacific Source Setting Facility Modifier None Typical Low $33.88 Median $173.78 Typical High $263.03 | Facility | None | $33.88 | $173.78 | $263.03 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $33.88 Median $33.88 Typical High $218.78 | Professional | None (both parts) | $33.88 | $33.88 | $218.78 |
Providence Setting Facility Modifier None Typical Low $46.77 Median $363.08 Typical High $1,174.90 | Facility | None | $46.77 | $363.08 | $1,174.90 |
Providence Setting Professional Modifier None (both parts) Typical Low $194.98 Median $275.42 Typical High $398.11 | Professional | None (both parts) | $194.98 | $275.42 | $398.11 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $38.90 Typical High $69.18 | Professional | 26 · Professional part | $26.92 | $38.90 | $69.18 |
Providence Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $223.87 Typical High $331.13 | Professional | TC · Technical part | $102.33 | $223.87 | $331.13 |
Regence BlueShield Setting Facility Modifier None Typical Low $851.14 Median $1,258.93 Typical High $1,698.24 | Facility | None | $851.14 | $1,258.93 | $1,698.24 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $190.55 Median $263.03 Typical High $380.19 | Professional | None (both parts) | $190.55 | $263.03 | $380.19 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $45.71 Typical High $66.07 | Professional | 26 · Professional part | $36.31 | $45.71 | $66.07 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $218.78 Typical High $316.23 | Professional | TC · Technical part | $154.88 | $218.78 | $316.23 |
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 $125.89 Median $263.03 Typical High $457.09 | Professional | None (both parts) | $125.89 | $263.03 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $40.74 Typical High $75.86 | Professional | 26 · Professional part | $18.20 | $40.74 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $213.80 Typical High $380.19 | Professional | TC · Technical part | $102.33 | $213.80 | $380.19 |
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 $61.66 Median $97.72 Typical High $97.72 | Professional | 52 · Reduced service | $61.66 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $38.90 Typical High $38.90 | Professional | 53 · Discontinued | $24.55 | $38.90 | $38.90 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $97.72 Typical High $97.72 | Professional | 52 · Reduced service | $57.54 | $97.72 | $97.72 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $38.90 Typical High $38.90 | Professional | 53 · Discontinued | $22.91 | $38.90 | $38.90 |
Where Oregon sits
The same service costs 4.1 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
$229
AK $398UT $97.72
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.