How much rates vary
Facilitymedian $224 · 10th to 90th $98 to $6,761Professionalmedian $324 · 10th to 90th $204 to $490
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 $154.88 Median $223.87 Typical High $269.15 | Professional | None (both parts) | $154.88 | $223.87 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $72.44 Typical High $72.44 | Professional | 26 · Professional part | $52.48 | $72.44 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $151.36 Typical High $204.17 | Professional | TC · Technical part | $104.71 | $151.36 | $204.17 |
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 $239.88 Median $309.03 Typical High $524.81 | Professional | None (both parts) | $239.88 | $309.03 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $95.50 Typical High $162.18 | Professional | 26 · Professional part | $69.18 | $95.50 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $208.93 Typical High $380.19 | Professional | TC · Technical part | $162.18 | $208.93 | $380.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $331.13 Median $380.19 Typical High $478.63 | Professional | None | $331.13 | $380.19 | $478.63 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $123.03 Typical High $144.54 | Professional | 26 · Professional part | $102.33 | $123.03 | $144.54 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $263.03 Typical High $331.13 | Professional | TC · Technical part | $223.87 | $263.03 | $331.13 |
Moda Health Setting Facility Modifier None Typical Low $223.87 Median $407.38 Typical High $524.81 | Facility | None | $223.87 | $407.38 | $524.81 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $204.17 Median $269.15 Typical High $478.63 | Professional | None (both parts) | $204.17 | $269.15 | $478.63 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $72.44 Typical High $141.25 | Professional | 26 · Professional part | $53.70 | $72.44 | $141.25 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $162.18 Typical High $331.13 | Professional | TC · Technical part | $134.90 | $162.18 | $331.13 |
Pacific Source Setting Facility Modifier None Typical Low $89.13 Median $208.93 Typical High $346.74 | Facility | None | $89.13 | $208.93 | $346.74 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $213.80 | Professional | None (both parts) | $107.15 | $107.15 | $213.80 |
Providence Setting Facility Modifier None Typical Low $346.74 Median $512.86 Typical High $9,549.93 | Facility | None | $346.74 | $512.86 | $9,549.93 |
Providence Setting Professional Modifier None (both parts) Typical Low $245.47 Median $354.81 Typical High $489.78 | Professional | None (both parts) | $245.47 | $354.81 | $489.78 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $112.20 Typical High $158.49 | Professional | 26 · Professional part | $77.62 | $112.20 | $158.49 |
Providence Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $245.47 Typical High $354.81 | Professional | TC · Technical part | $165.96 | $245.47 | $354.81 |
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 $309.03 Median $323.59 Typical High $446.68 | Professional | None (both parts) | $309.03 | $323.59 | $446.68 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $104.71 Typical High $151.36 | Professional | 26 · Professional part | $100.00 | $104.71 | $151.36 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $218.78 Typical High $302.00 | Professional | TC · Technical part | $208.93 | $218.78 | $302.00 |
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 $537.03 | Professional | None (both parts) | $165.96 | $331.13 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $100.00 Typical High $169.82 | Professional | 26 · Professional part | $57.54 | $100.00 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $218.78 Typical High $371.54 | Professional | TC · Technical part | $109.65 | $218.78 | $371.54 |
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 $117.49 Median $117.49 Typical High $151.36 | Facility | 53 · Discontinued | $117.49 | $117.49 | $151.36 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $112.20 Typical High $112.20 | Professional | 52 · Reduced service | $69.18 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $44.67 Typical High $44.67 | Professional | 53 · Discontinued | $27.54 | $44.67 | $44.67 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $112.20 Typical High $112.20 | Professional | 52 · Reduced service | $64.57 | $112.20 | $112.20 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $44.67 Typical High $44.67 | Professional | 53 · Discontinued | $25.70 | $44.67 | $44.67 |
Where Oregon sits
The same service costs 4.0 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· 13th of 51
$309
AK $479TX $120
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.