How much rates vary
Facilitymedian $191 · 10th to 90th $93 to $871Professionalmedian $269 · 10th to 90th $178 to $427
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 $478.63 Median $478.63 Typical High $616.60 | Facility | TC · Technical part | $478.63 | $478.63 | $616.60 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $194.98 Typical High $204.17 | Professional | None (both parts) | $125.89 | $194.98 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $72.44 Typical High $72.44 | Professional | 26 · Professional part | $46.77 | $72.44 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $123.03 Typical High $154.88 | Professional | TC · Technical part | $75.86 | $123.03 | $154.88 |
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 $199.53 Median $263.03 Typical High $467.74 | Professional | None (both parts) | $199.53 | $263.03 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $91.20 Typical High $158.49 | Professional | 26 · Professional part | $63.10 | $91.20 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $165.96 Typical High $295.12 | Professional | TC · Technical part | $125.89 | $165.96 | $295.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $269.15 Median $309.03 Typical High $380.19 | Professional | None | $269.15 | $309.03 | $380.19 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $117.49 Typical High $138.04 | Professional | 26 · Professional part | $97.72 | $117.49 | $138.04 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $190.55 Typical High $239.88 | Professional | TC · Technical part | $165.96 | $190.55 | $239.88 |
Moda Health Setting Facility Modifier None Typical Low $194.98 Median $371.54 Typical High $489.78 | Facility | None | $194.98 | $371.54 | $489.78 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $194.98 Median $229.09 Typical High $416.87 | Professional | None (both parts) | $194.98 | $229.09 | $416.87 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $72.44 Typical High $138.04 | Professional | 26 · Professional part | $48.98 | $72.44 | $138.04 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $138.04 Typical High $263.03 | Professional | TC · Technical part | $107.15 | $138.04 | $263.03 |
Pacific Source Setting Facility Modifier None Typical Low $85.11 Median $165.96 Typical High $316.23 | Facility | None | $85.11 | $165.96 | $316.23 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $131.83 | Professional | None (both parts) | $77.62 | $77.62 | $131.83 |
Providence Setting Facility Modifier None Typical Low $275.42 Median $467.74 Typical High $9,549.93 | Facility | None | $275.42 | $467.74 | $9,549.93 |
Providence Setting Professional Modifier None (both parts) Typical Low $204.17 Median $309.03 Typical High $426.58 | Professional | None (both parts) | $204.17 | $309.03 | $426.58 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $107.15 Typical High $151.36 | Professional | 26 · Professional part | $74.13 | $107.15 | $151.36 |
Providence Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $204.17 Typical High $295.12 | Professional | TC · Technical part | $128.82 | $204.17 | $295.12 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,311.31 Median $8,912.51 Typical High $12,882.50 | Facility | None | $3,311.31 | $8,912.51 | $12,882.50 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $251.19 Median $263.03 Typical High $371.54 | Professional | None (both parts) | $251.19 | $263.03 | $371.54 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $102.33 Typical High $144.54 | Professional | 26 · Professional part | $95.50 | $102.33 | $144.54 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $162.18 Typical High $245.47 | Professional | TC · Technical part | $154.88 | $162.18 | $245.47 |
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 $147.91 Median $295.12 Typical High $467.74 | Professional | None (both parts) | $147.91 | $295.12 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $95.50 Typical High $169.82 | Professional | 26 · Professional part | $56.23 | $95.50 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $181.97 Typical High $288.40 | Professional | TC · Technical part | $91.20 | $181.97 | $288.40 |
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 $58.88 Median $97.72 Typical High $97.72 | Professional | 52 · Reduced service | $58.88 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $38.90 Typical High $38.90 | Professional | 53 · Discontinued | $23.44 | $38.90 | $38.90 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $97.72 Typical High $97.72 | Professional | 52 · Reduced service | $54.95 | $97.72 | $97.72 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $38.90 Typical High $38.90 | Professional | 53 · Discontinued | $21.88 | $38.90 | $38.90 |
Where Oregon sits
The same service costs 4.3 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
$263
AK $407UT $95.50
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.