How much rates vary
Facilitymedian $200 · 10th to 90th $110 to $776Professionalmedian $316 · 10th to 90th $204 to $513
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 $426.58 Median $426.58 Typical High $549.54 | Facility | TC · Technical part | $426.58 | $426.58 | $549.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $245.47 Typical High $309.03 | Professional | None (both parts) | $177.83 | $245.47 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $117.49 Typical High $138.04 | Professional | 26 · Professional part | $56.23 | $117.49 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $125.89 Typical High $234.42 | Professional | TC · Technical part | $79.43 | $125.89 | $234.42 |
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 $234.42 Median $309.03 Typical High $562.34 | Professional | None (both parts) | $234.42 | $309.03 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $147.91 Typical High $275.42 | Professional | 26 · Professional part | $89.13 | $147.91 | $275.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $151.36 Typical High $275.42 | Professional | TC · Technical part | $109.65 | $151.36 | $275.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $316.23 Median $371.54 Typical High $446.68 | Professional | None | $316.23 | $371.54 | $446.68 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $204.17 Typical High $239.88 | Professional | 26 · Professional part | $169.82 | $204.17 | $239.88 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $165.96 Typical High $208.93 | Professional | TC · Technical part | $144.54 | $165.96 | $208.93 |
Moda Health Setting Facility Modifier None Typical Low $234.42 Median $446.68 Typical High $588.84 | Facility | None | $234.42 | $446.68 | $588.84 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $177.83 Median $281.84 Typical High $489.78 | Professional | None (both parts) | $177.83 | $281.84 | $489.78 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $123.03 Typical High $234.42 | Professional | 26 · Professional part | $63.10 | $123.03 | $234.42 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $141.25 Typical High $269.15 | Professional | TC · Technical part | $85.11 | $141.25 | $269.15 |
Pacific Source Setting Facility Modifier None Typical Low $109.65 Median $181.97 Typical High $363.08 | Facility | None | $109.65 | $181.97 | $363.08 |
Providence Setting Facility Modifier None Typical Low $331.13 Median $575.44 Typical High $9,549.93 | Facility | None | $331.13 | $575.44 | $9,549.93 |
Providence Setting Professional Modifier None (both parts) Typical Low $239.88 Median $371.54 Typical High $512.86 | Professional | None (both parts) | $239.88 | $371.54 | $512.86 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $147.91 Typical High $269.15 | Professional | 26 · Professional part | $109.65 | $147.91 | $269.15 |
Providence Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $190.55 Typical High $331.13 | Professional | TC · Technical part | $109.65 | $190.55 | $331.13 |
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 $302.00 Median $316.23 Typical High $446.68 | Professional | None (both parts) | $302.00 | $316.23 | $446.68 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $177.83 Typical High $251.19 | Professional | 26 · Professional part | $151.36 | $177.83 | $251.19 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $141.25 Typical High $213.80 | Professional | TC · Technical part | $134.90 | $141.25 | $213.80 |
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 $177.83 Median $346.74 Typical High $562.34 | Professional | None (both parts) | $177.83 | $346.74 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $154.88 Typical High $295.12 | Professional | 26 · Professional part | $67.61 | $154.88 | $295.12 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $162.18 Typical High $309.03 | Professional | TC · Technical part | $81.28 | $162.18 | $309.03 |
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 $72.44 Median $117.49 Typical High $117.49 | Professional | 52 · Reduced service | $72.44 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $46.77 Typical High $46.77 | Professional | 53 · Discontinued | $28.84 | $46.77 | $46.77 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $117.49 Typical High $117.49 | Professional | 52 · Reduced service | $67.61 | $117.49 | $117.49 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $46.77 Typical High $46.77 | Professional | 53 · Discontinued | $26.92 | $46.77 | $46.77 |
Where Oregon sits
The same service costs 5.1 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· 14th of 51
$302
AK $513UT $100
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.