How much rates vary
Facilitymedian $219 · 10th to 90th $95 to $11,749Professionalmedian $282 · 10th to 90th $186 to $447
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 $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $204.17 Typical High $302.00 | Professional | None (both parts) | $151.36 | $204.17 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $70.79 Typical High $77.62 | Professional | 26 · Professional part | $48.98 | $70.79 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $131.83 Typical High $234.42 | Professional | TC · Technical part | $102.33 | $131.83 | $234.42 |
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 $213.80 Median $275.42 Typical High $489.78 | Professional | None (both parts) | $213.80 | $275.42 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $89.13 Typical High $154.88 | Professional | 26 · Professional part | $63.10 | $89.13 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $181.97 Typical High $331.13 | Professional | TC · Technical part | $141.25 | $181.97 | $331.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $281.84 Median $331.13 Typical High $407.38 | Professional | None | $281.84 | $331.13 | $407.38 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $114.82 Typical High $134.90 | Professional | 26 · Professional part | $95.50 | $114.82 | $134.90 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $213.80 Typical High $269.15 | Professional | TC · Technical part | $186.21 | $213.80 | $269.15 |
Moda Health Setting Facility Modifier None Typical Low $204.17 Median $389.05 Typical High $501.19 | Facility | None | $204.17 | $389.05 | $501.19 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $173.78 Median $257.04 Typical High $457.09 | Professional | None (both parts) | $173.78 | $257.04 | $457.09 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $70.79 Typical High $123.03 | Professional | 26 · Professional part | $48.98 | $70.79 | $123.03 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $177.83 Typical High $295.12 | Professional | TC · Technical part | $109.65 | $177.83 | $295.12 |
Pacific Source Setting Facility Modifier None Typical Low $89.13 Median $186.21 Typical High $407.38 | Facility | None | $89.13 | $186.21 | $407.38 |
Providence Setting Facility Modifier None Typical Low $295.12 Median $478.63 Typical High $16,595.87 | Facility | None | $295.12 | $478.63 | $16,595.87 |
Providence Setting Professional Modifier None (both parts) Typical Low $218.78 Median $316.23 Typical High $446.68 | Professional | None (both parts) | $218.78 | $316.23 | $446.68 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $107.15 Typical High $151.36 | Professional | 26 · Professional part | $72.44 | $107.15 | $151.36 |
Providence Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $218.78 Typical High $331.13 | Professional | TC · Technical part | $144.54 | $218.78 | $331.13 |
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 $269.15 Median $281.84 Typical High $398.11 | Professional | None (both parts) | $269.15 | $281.84 | $398.11 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $100.00 Typical High $141.25 | Professional | 26 · Professional part | $95.50 | $100.00 | $141.25 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $181.97 Typical High $269.15 | Professional | TC · Technical part | $169.82 | $181.97 | $269.15 |
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 $154.88 Median $309.03 Typical High $501.19 | Professional | None (both parts) | $154.88 | $309.03 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $97.72 Typical High $165.96 | Professional | 26 · Professional part | $54.95 | $97.72 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $194.98 Typical High $323.59 | Professional | TC · Technical part | $97.72 | $194.98 | $323.59 |
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 $61.66 Median $102.33 Typical High $102.33 | Professional | 52 · Reduced service | $61.66 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $40.74 Typical High $40.74 | Professional | 53 · Discontinued | $24.55 | $40.74 | $40.74 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $102.33 Typical High $102.33 | Professional | 52 · Reduced service | $57.54 | $102.33 | $102.33 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $40.74 Typical High $40.74 | Professional | 53 · Discontinued | $22.91 | $40.74 | $40.74 |
Where Oregon sits
The same service costs 4.2 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
$269
AK $437UT $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.