How much rates vary
Facilitymedian $155 · 10th to 90th $87 to $11,749Professionalmedian $240 · 10th to 90th $155 to $380
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 $398.11 Median $398.11 Typical High $512.86 | Facility | TC · Technical part | $398.11 | $398.11 | $512.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $173.78 Typical High $239.88 | Professional | None (both parts) | $134.90 | $173.78 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $72.44 Typical High $81.28 | Professional | 26 · Professional part | $50.12 | $72.44 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $102.33 Typical High $181.97 | Professional | TC · Technical part | $75.86 | $102.33 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $11,748.98 Median $16,595.87 Typical High $19,952.62 | Facility | None | $11,748.98 | $16,595.87 | $19,952.62 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $234.42 Typical High $416.87 | Professional | None (both parts) | $177.83 | $234.42 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $91.20 Typical High $158.49 | Professional | 26 · Professional part | $64.57 | $91.20 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $141.25 Typical High $245.47 | Professional | TC · Technical part | $102.33 | $141.25 | $245.47 |
Kaiser Permanente Setting Professional Modifier None Typical Low $239.88 Median $275.42 Typical High $338.84 | Professional | None | $239.88 | $275.42 | $338.84 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $117.49 Typical High $138.04 | Professional | 26 · Professional part | $97.72 | $117.49 | $138.04 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $158.49 Typical High $199.53 | Professional | TC · Technical part | $138.04 | $158.49 | $199.53 |
Moda Health Setting Facility Modifier None Typical Low $173.78 Median $331.13 Typical High $467.74 | Facility | None | $173.78 | $331.13 | $467.74 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $173.78 Median $218.78 Typical High $363.08 | Professional | None (both parts) | $173.78 | $218.78 | $363.08 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $72.44 Typical High $141.25 | Professional | 26 · Professional part | $52.48 | $72.44 | $141.25 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $134.90 Typical High $213.80 | Professional | TC · Technical part | $91.20 | $134.90 | $213.80 |
Pacific Source Setting Facility Modifier None Typical Low $85.11 Median $138.04 Typical High $295.12 | Facility | None | $85.11 | $138.04 | $295.12 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $83.18 Median $107.15 Typical High $147.91 | Professional | None (both parts) | $83.18 | $107.15 | $147.91 |
Providence Setting Facility Modifier None Typical Low $245.47 Median $416.87 Typical High $16,595.87 | Facility | None | $245.47 | $416.87 | $16,595.87 |
Providence Setting Professional Modifier None (both parts) Typical Low $177.83 Median $275.42 Typical High $389.05 | Professional | None (both parts) | $177.83 | $275.42 | $389.05 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $109.65 Typical High $154.88 | Professional | 26 · Professional part | $74.13 | $109.65 | $154.88 |
Providence Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $173.78 Typical High $263.03 | Professional | TC · Technical part | $104.71 | $173.78 | $263.03 |
Regence BlueShield Setting Facility Modifier None Typical Low $13,803.84 Median $17,378.01 Typical High $21,877.62 | Facility | None | $13,803.84 | $17,378.01 | $21,877.62 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $223.87 Median $234.42 Typical High $338.84 | Professional | None (both parts) | $223.87 | $234.42 | $338.84 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $102.33 Typical High $147.91 | Professional | 26 · Professional part | $97.72 | $102.33 | $147.91 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $134.90 Typical High $199.53 | Professional | TC · Technical part | $125.89 | $134.90 | $199.53 |
United Setting Facility Modifier None Typical Low $17,782.79 Median $21,877.62 Typical High $27,542.29 | Facility | None | $17,782.79 | $21,877.62 | $27,542.29 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $263.03 Typical High $416.87 | Professional | None (both parts) | $131.83 | $263.03 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $97.72 Typical High $169.82 | Professional | 26 · Professional part | $56.23 | $97.72 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $151.36 Typical High $251.19 | Professional | TC · Technical part | $75.86 | $151.36 | $251.19 |
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 $53.70 Median $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $53.70 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $21.38 | $34.67 | $34.67 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $50.12 | $87.10 | $87.10 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $19.95 | $34.67 | $34.67 |
Where Oregon sits
The same service costs 4.9 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· 14th of 51
$234
AK $372UT $75.86
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.