How much rates vary
Facilitymedian $135 · 10th to 90th $35 to $525Professionalmedian $162 · 10th to 90th $87 to $269
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 $169.82 Median $169.82 Typical High $234.42 | Facility | None | $169.82 | $169.82 | $234.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $138.04 Typical High $169.82 | Professional | None (both parts) | $72.44 | $138.04 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $25.12 Typical High $30.90 | Professional | 26 · Professional part | $16.22 | $25.12 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $112.20 Typical High $141.25 | Professional | TC · Technical part | $54.95 | $112.20 | $141.25 |
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 $100.00 Median $158.49 Typical High $275.42 | Professional | None (both parts) | $100.00 | $158.49 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $31.62 Typical High $54.95 | Professional | 26 · Professional part | $21.88 | $31.62 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $128.82 Typical High $234.42 | Professional | TC · Technical part | $74.13 | $128.82 | $234.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $177.83 Median $213.80 Typical High $257.04 | Professional | None | $177.83 | $213.80 | $257.04 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $40.74 Typical High $47.86 | Professional | 26 · Professional part | $33.88 | $40.74 | $47.86 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $173.78 Typical High $213.80 | Professional | TC · Technical part | $144.54 | $173.78 | $213.80 |
Moda Health Setting Facility Modifier None Typical Low $169.82 Median $194.98 Typical High $645.65 | Facility | None | $169.82 | $194.98 | $645.65 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $79.43 Median $138.04 Typical High $239.88 | Professional | None (both parts) | $79.43 | $138.04 | $239.88 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $25.12 Typical High $50.12 | Professional | 26 · Professional part | $16.98 | $25.12 | $50.12 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $112.20 Typical High $169.82 | Professional | TC · Technical part | $63.10 | $112.20 | $169.82 |
Pacific Source Setting Facility Modifier None Typical Low $30.90 Median $109.65 Typical High $177.83 | Facility | None | $30.90 | $109.65 | $177.83 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $36.31 Median $36.31 Typical High $154.88 | Professional | None (both parts) | $36.31 | $36.31 | $154.88 |
Providence Setting Facility Modifier None Typical Low $169.82 Median $251.19 Typical High $741.31 | Facility | None | $169.82 | $251.19 | $741.31 |
Providence Setting Professional Modifier None (both parts) Typical Low $128.82 Median $181.97 Typical High $275.42 | Professional | None (both parts) | $128.82 | $181.97 | $275.42 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $36.31 Typical High $52.48 | Professional | 26 · Professional part | $25.70 | $36.31 | $52.48 |
Providence Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $128.82 Typical High $223.87 | Professional | TC · Technical part | $87.10 | $128.82 | $223.87 |
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 $151.36 Median $181.97 Typical High $269.15 | Professional | None (both parts) | $151.36 | $181.97 | $269.15 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $35.48 Typical High $50.12 | Professional | 26 · Professional part | $33.11 | $35.48 | $50.12 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $147.91 Typical High $218.78 | Professional | TC · Technical part | $120.23 | $147.91 | $218.78 |
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 $75.86 Median $154.88 Typical High $275.42 | Professional | None (both parts) | $75.86 | $154.88 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $33.11 Typical High $58.88 | Professional | 26 · Professional part | $19.50 | $33.11 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $123.03 Typical High $223.87 | Professional | TC · Technical part | $58.88 | $123.03 | $223.87 |
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 $39.81 Median $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $39.81 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $27.54 Typical High $27.54 | Professional | 53 · Discontinued | $15.85 | $27.54 | $27.54 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $39.81 | $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 4.0 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
$151
AK $263UT $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.