How much rates vary
Facilitymedian $219 · 10th to 90th $102 to $7,079Professionalmedian $288 · 10th to 90th $178 to $457
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 $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $218.78 Typical High $338.84 | Professional | None (both parts) | $154.88 | $218.78 | $338.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $107.15 Typical High $134.90 | Professional | 26 · Professional part | $48.98 | $107.15 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $131.83 Typical High $213.80 | Professional | TC · Technical part | $75.86 | $131.83 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $6,760.83 Median $9,549.93 Typical High $11,748.98 | Facility | None | $6,760.83 | $9,549.93 | $11,748.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $281.84 Typical High $489.78 | Professional | None (both parts) | $213.80 | $281.84 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $131.83 Typical High $239.88 | Professional | 26 · Professional part | $77.62 | $131.83 | $239.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $141.25 Typical High $257.04 | Professional | TC · Technical part | $102.33 | $141.25 | $257.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $295.12 Median $338.84 Typical High $416.87 | Professional | None | $295.12 | $338.84 | $416.87 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $181.97 Typical High $213.80 | Professional | 26 · Professional part | $151.36 | $181.97 | $213.80 |
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 $218.78 Median $389.05 Typical High $512.86 | Facility | None | $218.78 | $389.05 | $512.86 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $165.96 Median $257.04 Typical High $446.68 | Professional | None (both parts) | $165.96 | $257.04 | $446.68 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $109.65 Typical High $204.17 | Professional | 26 · Professional part | $51.29 | $109.65 | $204.17 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $141.25 Typical High $245.47 | Professional | TC · Technical part | $81.28 | $141.25 | $245.47 |
Pacific Source Setting Facility Modifier None Typical Low $97.72 Median $165.96 Typical High $416.87 | Facility | None | $97.72 | $165.96 | $416.87 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $114.82 | Professional | None (both parts) | $102.33 | $102.33 | $114.82 |
Providence Setting Facility Modifier None Typical Low $302.00 Median $489.78 Typical High $9,549.93 | Facility | None | $302.00 | $489.78 | $9,549.93 |
Providence Setting Professional Modifier None (both parts) Typical Low $223.87 Median $331.13 Typical High $467.74 | Professional | None (both parts) | $223.87 | $331.13 | $467.74 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $131.83 Typical High $239.88 | Professional | 26 · Professional part | $95.50 | $131.83 | $239.88 |
Providence Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $181.97 Typical High $288.40 | Professional | TC · Technical part | $104.71 | $181.97 | $288.40 |
Regence BlueShield Setting Facility Modifier None Typical Low $8,317.64 Median $10,964.78 Typical High $12,882.50 | Facility | None | $8,317.64 | $10,964.78 | $12,882.50 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $281.84 Median $295.12 Typical High $416.87 | Professional | None (both parts) | $281.84 | $295.12 | $416.87 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $158.49 Typical High $223.87 | Professional | 26 · Professional part | $134.90 | $158.49 | $223.87 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $134.90 Typical High $204.17 | Professional | TC · Technical part | $128.82 | $134.90 | $204.17 |
United Setting Facility Modifier None Typical Low $10,000.00 Median $12,589.25 Typical High $15,488.17 | Facility | None | $10,000.00 | $12,589.25 | $15,488.17 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $331.13 Typical High $512.86 | Professional | None (both parts) | $165.96 | $331.13 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $131.83 Typical High $263.03 | Professional | 26 · Professional part | $58.88 | $131.83 | $263.03 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $158.49 Typical High $275.42 | Professional | TC · Technical part | $79.43 | $158.49 | $275.42 |
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 $66.07 Median $107.15 Typical High $107.15 | Professional | 52 · Reduced service | $66.07 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $43.65 Typical High $43.65 | Professional | 53 · Discontinued | $26.30 | $43.65 | $43.65 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $107.15 Typical High $107.15 | Professional | 52 · Reduced service | $61.66 | $107.15 | $107.15 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $43.65 Typical High $43.65 | Professional | 53 · Discontinued | $24.55 | $43.65 | $43.65 |
Where Oregon sits
The same service costs 4.1 times more in Alaska 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· 12th of 51
$282
AK $468TX $115
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.