How much rates vary
Facilitymedian $138 · 10th to 90th $35 to $468Professionalmedian $182 · 10th to 90th $93 to $282
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 $446.68 Median $446.68 Typical High $575.44 | Facility | TC · Technical part | $446.68 | $446.68 | $575.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $138.04 Typical High $138.04 | Professional | None (both parts) | $87.10 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $24.55 Typical High $24.55 | Professional | 26 · Professional part | $15.49 | $24.55 | $24.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $114.82 Typical High $114.82 | Professional | TC · Technical part | $69.18 | $114.82 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $741.31 Typical High $891.25 | Facility | None | $524.81 | $741.31 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $169.82 Typical High $281.84 | Professional | None (both parts) | $95.50 | $169.82 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $31.62 Typical High $53.70 | Professional | 26 · Professional part | $21.38 | $31.62 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $138.04 Typical High $245.47 | Professional | TC · Technical part | $75.86 | $138.04 | $245.47 |
Kaiser Permanente Setting Professional Modifier None Typical Low $199.53 Median $234.42 Typical High $288.40 | Professional | None | $199.53 | $234.42 | $288.40 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $41.69 Typical High $48.98 | Professional | 26 · Professional part | $34.67 | $41.69 | $48.98 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $190.55 Typical High $239.88 | Professional | TC · Technical part | $165.96 | $190.55 | $239.88 |
Moda Health Setting Facility Modifier None Typical Low $138.04 Median $199.53 Typical High $223.87 | Facility | None | $138.04 | $199.53 | $223.87 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $102.33 Median $138.04 Typical High $251.19 | Professional | None (both parts) | $102.33 | $138.04 | $251.19 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $24.55 Typical High $48.98 | Professional | 26 · Professional part | $19.95 | $24.55 | $48.98 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $114.82 Typical High $208.93 | Professional | TC · Technical part | $72.44 | $114.82 | $208.93 |
Pacific Source Setting Facility Modifier None Typical Low $31.62 Median $123.03 Typical High $190.55 | Facility | None | $31.62 | $123.03 | $190.55 |
Providence Setting Facility Modifier None Typical Low $186.21 Median $263.03 Typical High $741.31 | Facility | None | $186.21 | $263.03 | $741.31 |
Providence Setting Professional Modifier None (both parts) Typical Low $138.04 Median $186.21 Typical High $288.40 | Professional | None (both parts) | $138.04 | $186.21 | $288.40 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $36.31 Typical High $51.29 | Professional | 26 · Professional part | $25.70 | $36.31 | $51.29 |
Providence Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $138.04 Typical High $234.42 | Professional | TC · Technical part | $95.50 | $138.04 | $234.42 |
Regence BlueShield Setting Facility Modifier None Typical Low $691.83 Median $851.14 Typical High $1,047.13 | Facility | None | $691.83 | $851.14 | $1,047.13 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $158.49 Median $190.55 Typical High $269.15 | Professional | None (both parts) | $158.49 | $190.55 | $269.15 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $33.88 Typical High $48.98 | Professional | 26 · Professional part | $32.36 | $33.88 | $48.98 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $154.88 Typical High $223.87 | Professional | TC · Technical part | $128.82 | $154.88 | $223.87 |
United Setting Facility Modifier None Typical Low $758.58 Median $954.99 Typical High $1,174.90 | Facility | None | $758.58 | $954.99 | $1,174.90 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $158.49 Typical High $281.84 | Professional | None (both parts) | $81.28 | $158.49 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $32.36 Typical High $56.23 | Professional | 26 · Professional part | $18.62 | $32.36 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $125.89 Typical High $234.42 | Professional | TC · Technical part | $63.10 | $125.89 | $234.42 |
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 $43.65 Median $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $43.65 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $27.54 Typical High $27.54 | Professional | 53 · Discontinued | $17.38 | $27.54 | $27.54 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $40.74 Median $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $40.74 | $69.18 | $69.18 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $27.54 Typical High $27.54 | Professional | 53 · Discontinued | $16.22 | $27.54 | $27.54 |
Where Oregon sits
The same service costs 3.8 times more in Alaska than in Kentucky. 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
$166
AK $282KY $74.13
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.