How much rates vary
Facilitymedian $166 · 10th to 90th $93 to $6,761Professionalmedian $263 · 10th to 90th $178 to $407
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 Professional Modifier None (both parts) Typical Low $114.82 Median $190.55 Typical High $190.55 | Professional | None (both parts) | $114.82 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $81.28 Typical High $81.28 | Professional | 26 · Professional part | $52.48 | $81.28 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $109.65 Typical High $109.65 | Professional | TC · Technical part | $61.66 | $109.65 | $109.65 |
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 $190.55 Median $245.47 Typical High $446.68 | Professional | None (both parts) | $190.55 | $245.47 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $102.33 Typical High $177.83 | Professional | 26 · Professional part | $72.44 | $102.33 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $144.54 Typical High $251.19 | Professional | TC · Technical part | $107.15 | $144.54 | $251.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $251.19 Median $295.12 Typical High $363.08 | Professional | None | $251.19 | $295.12 | $363.08 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $131.83 Typical High $158.49 | Professional | 26 · Professional part | $112.20 | $131.83 | $158.49 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $158.49 Typical High $204.17 | Professional | TC · Technical part | $138.04 | $158.49 | $204.17 |
Moda Health Setting Facility Modifier None Typical Low $190.55 Median $363.08 Typical High $478.63 | Facility | None | $190.55 | $363.08 | $478.63 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $190.55 Median $223.87 Typical High $407.38 | Professional | None (both parts) | $190.55 | $223.87 | $407.38 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $81.28 Typical High $158.49 | Professional | 26 · Professional part | $67.61 | $81.28 | $158.49 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $109.65 Typical High $223.87 | Professional | TC · Technical part | $87.10 | $109.65 | $223.87 |
Pacific Source Setting Facility Modifier None Typical Low $89.13 Median $141.25 Typical High $323.59 | Facility | None | $89.13 | $141.25 | $323.59 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $97.72 Median $117.49 Typical High $257.04 | Professional | None (both parts) | $97.72 | $117.49 | $257.04 |
Providence Setting Facility Modifier None Typical Low $263.03 Median $446.68 Typical High $9,549.93 | Facility | None | $263.03 | $446.68 | $9,549.93 |
Providence Setting Professional Modifier None (both parts) Typical Low $194.98 Median $295.12 Typical High $407.38 | Professional | None (both parts) | $194.98 | $295.12 | $407.38 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $123.03 Typical High $173.78 | Professional | 26 · Professional part | $85.11 | $123.03 | $173.78 |
Providence Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $177.83 Typical High $263.03 | Professional | TC · Technical part | $109.65 | $177.83 | $263.03 |
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 $239.88 Median $251.19 Typical High $354.81 | Professional | None (both parts) | $239.88 | $251.19 | $354.81 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $114.82 Typical High $165.96 | Professional | 26 · Professional part | $109.65 | $114.82 | $165.96 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $138.04 Typical High $208.93 | Professional | TC · Technical part | $131.83 | $138.04 | $208.93 |
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 $144.54 Median $288.40 Typical High $446.68 | Professional | None (both parts) | $144.54 | $288.40 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $112.20 Typical High $190.55 | Professional | 26 · Professional part | $64.57 | $112.20 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $162.18 Typical High $251.19 | Professional | TC · Technical part | $81.28 | $162.18 | $251.19 |
5 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 Facility Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $109.65 | Facility | 53 · Discontinued | $85.11 | $85.11 | $109.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $95.50 Typical High $95.50 | Professional | 52 · Reduced service | $57.54 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $38.02 Typical High $38.02 | Professional | 53 · Discontinued | $22.91 | $38.02 | $38.02 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $95.50 Typical High $95.50 | Professional | 52 · Reduced service | $53.70 | $95.50 | $95.50 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $38.02 Typical High $38.02 | Professional | 53 · Discontinued | $21.38 | $38.02 | $38.02 |
Where Oregon sits
The same service costs 5.4 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
$251
AK $407UT $75.86
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.