How much rates vary
Facilitymedian $229 · 10th to 90th $107 to $891Professionalmedian $339 · 10th to 90th $219 to $525
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 $616.60 Median $616.60 Typical High $794.33 | Facility | TC · Technical part | $616.60 | $616.60 | $794.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $147.91 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $83.18 Typical High $83.18 | Professional | 26 · Professional part | $53.70 | $83.18 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $158.49 Typical High $158.49 | Professional | TC · Technical part | $93.33 | $158.49 | $158.49 |
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 $257.04 Median $331.13 Typical High $575.44 | Professional | None (both parts) | $257.04 | $331.13 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $107.15 Typical High $186.21 | Professional | 26 · Professional part | $74.13 | $107.15 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $218.78 Typical High $407.38 | Professional | TC · Technical part | $169.82 | $218.78 | $407.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $346.74 Median $398.11 Typical High $501.19 | Professional | None | $346.74 | $398.11 | $501.19 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $138.04 Typical High $162.18 | Professional | 26 · Professional part | $114.82 | $138.04 | $162.18 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $263.03 Typical High $338.84 | Professional | TC · Technical part | $229.09 | $263.03 | $338.84 |
Moda Health Setting Facility Modifier None Typical Low $239.88 Median $446.68 Typical High $588.84 | Facility | None | $239.88 | $446.68 | $588.84 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $239.88 Median $288.40 Typical High $549.54 | Professional | None (both parts) | $239.88 | $288.40 | $549.54 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $83.18 Typical High $158.49 | Professional | 26 · Professional part | $69.18 | $83.18 | $158.49 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $158.49 Typical High $363.08 | Professional | TC · Technical part | $138.04 | $158.49 | $363.08 |
Pacific Source Setting Facility Modifier None Typical Low $100.00 Median $223.87 Typical High $380.19 | Facility | None | $100.00 | $223.87 | $380.19 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $204.17 | Professional | None (both parts) | $114.82 | $114.82 | $204.17 |
Providence Setting Facility Modifier None Typical Low $363.08 Median $562.34 Typical High $9,549.93 | Facility | None | $363.08 | $562.34 | $9,549.93 |
Providence Setting Professional Modifier None (both parts) Typical Low $263.03 Median $380.19 Typical High $524.81 | Professional | None (both parts) | $263.03 | $380.19 | $524.81 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $123.03 Typical High $177.83 | Professional | 26 · Professional part | $87.10 | $123.03 | $177.83 |
Providence Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $257.04 Typical High $389.05 | Professional | TC · Technical part | $173.78 | $257.04 | $389.05 |
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 $323.59 Median $338.84 Typical High $478.63 | Professional | None (both parts) | $323.59 | $338.84 | $478.63 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $117.49 Typical High $165.96 | Professional | 26 · Professional part | $112.20 | $117.49 | $165.96 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $218.78 Typical High $316.23 | Professional | TC · Technical part | $208.93 | $218.78 | $316.23 |
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 $354.81 Typical High $588.84 | Professional | None (both parts) | $177.83 | $354.81 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $114.82 Typical High $194.98 | Professional | 26 · Professional part | $64.57 | $114.82 | $194.98 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $229.09 Typical High $389.05 | Professional | TC · Technical part | $114.82 | $229.09 | $389.05 |
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 $74.13 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $74.13 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $29.51 | $47.86 | $47.86 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $69.18 | $120.23 | $120.23 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $27.54 | $47.86 | $47.86 |
Where Oregon sits
The same service costs 4.4 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· 14th of 51
$331
AK $513TX $117
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.