How much rates vary
Facilitymedian $204 · 10th to 90th $95 to $2,042Professionalmedian $302 · 10th to 90th $195 to $468
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 $562.34 Median $562.34 Typical High $724.44 | Facility | TC · Technical part | $562.34 | $562.34 | $724.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $218.78 Typical High $218.78 | Professional | None (both parts) | $131.83 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $74.13 Typical High $74.13 | Professional | 26 · Professional part | $47.86 | $74.13 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $144.54 Typical High $144.54 | Professional | TC · Technical part | $85.11 | $144.54 | $144.54 |
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 $229.09 Median $295.12 Typical High $489.78 | Professional | None (both parts) | $229.09 | $295.12 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $95.50 Typical High $162.18 | Professional | 26 · Professional part | $66.07 | $95.50 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $194.98 Typical High $363.08 | Professional | TC · Technical part | $151.36 | $194.98 | $363.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $302.00 Median $346.74 Typical High $426.58 | Professional | None | $302.00 | $346.74 | $426.58 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $120.23 Typical High $141.25 | Professional | 26 · Professional part | $100.00 | $120.23 | $141.25 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $223.87 Typical High $288.40 | Professional | TC · Technical part | $194.98 | $223.87 | $288.40 |
Moda Health Setting Facility Modifier None Typical Low $218.78 Median $416.87 Typical High $512.86 | Facility | None | $218.78 | $416.87 | $512.86 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $169.82 Median $251.19 Typical High $457.09 | Professional | None (both parts) | $169.82 | $251.19 | $457.09 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $74.13 Typical High $144.54 | Professional | 26 · Professional part | $60.26 | $74.13 | $144.54 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $144.54 Typical High $323.59 | Professional | TC · Technical part | $123.03 | $144.54 | $323.59 |
Pacific Source Setting Facility Modifier None Typical Low $87.10 Median $199.53 Typical High $371.54 | Facility | None | $87.10 | $199.53 | $371.54 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $208.93 | Professional | None (both parts) | $109.65 | $109.65 | $208.93 |
Providence Setting Facility Modifier None Typical Low $309.03 Median $457.09 Typical High $9,549.93 | Facility | None | $309.03 | $457.09 | $9,549.93 |
Providence Setting Professional Modifier None (both parts) Typical Low $234.42 Median $338.84 Typical High $467.74 | Professional | None (both parts) | $234.42 | $338.84 | $467.74 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $109.65 Typical High $158.49 | Professional | 26 · Professional part | $77.62 | $109.65 | $158.49 |
Providence Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $229.09 Typical High $331.13 | Professional | TC · Technical part | $154.88 | $229.09 | $331.13 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,041.74 Median $8,912.51 Typical High $12,882.50 | Facility | None | $2,041.74 | $8,912.51 | $12,882.50 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $288.40 Median $302.00 Typical High $426.58 | Professional | None (both parts) | $288.40 | $302.00 | $426.58 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $104.71 Typical High $147.91 | Professional | 26 · Professional part | $97.72 | $104.71 | $147.91 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $194.98 Typical High $281.84 | Professional | TC · Technical part | $186.21 | $194.98 | $281.84 |
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 $501.19 | Professional | None (both parts) | $165.96 | $331.13 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $100.00 Typical High $173.78 | Professional | 26 · Professional part | $57.54 | $100.00 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $213.80 Typical High $346.74 | Professional | TC · Technical part | $107.15 | $213.80 | $346.74 |
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 $109.65 Typical High $109.65 | Professional | 52 · Reduced service | $66.07 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $43.65 Typical High $43.65 | Professional | 53 · Discontinued | $26.92 | $43.65 | $43.65 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $109.65 Typical High $109.65 | Professional | 52 · Reduced service | $61.66 | $109.65 | $109.65 |
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 4.4 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· 13th of 51
$295
AK $457UT $105
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.