How much rates vary
Facilitymedian $120 · 10th to 90th $40 to $295Professionalmedian $158 · 10th to 90th $98 to $240
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 $363.08 Median $363.08 Typical High $467.74 | Facility | TC · Technical part | $363.08 | $363.08 | $467.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $125.89 Typical High $125.89 | Professional | None (both parts) | $75.86 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $31.62 Typical High $31.62 | Professional | 26 · Professional part | $20.89 | $31.62 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $93.33 Typical High $93.33 | Professional | TC · Technical part | $53.70 | $93.33 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $346.74 Typical High $398.11 | Facility | None | $229.09 | $346.74 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $151.36 Typical High $257.04 | Professional | None (both parts) | $107.15 | $151.36 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $39.81 Typical High $69.18 | Professional | 26 · Professional part | $27.54 | $39.81 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $112.20 Typical High $190.55 | Professional | TC · Technical part | $81.28 | $112.20 | $190.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $169.82 Median $194.98 Typical High $245.47 | Professional | None | $169.82 | $194.98 | $245.47 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $53.70 Typical High $63.10 | Professional | 26 · Professional part | $44.67 | $53.70 | $63.10 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $141.25 Typical High $181.97 | Professional | TC · Technical part | $123.03 | $141.25 | $181.97 |
Moda Health Setting Facility Modifier None Typical Low $125.89 Median $213.80 Typical High $295.12 | Facility | None | $125.89 | $213.80 | $295.12 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $95.50 Median $125.89 Typical High $213.80 | Professional | None (both parts) | $95.50 | $125.89 | $213.80 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $31.62 Typical High $60.26 | Professional | 26 · Professional part | $23.99 | $31.62 | $60.26 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $93.33 Typical High $154.88 | Professional | TC · Technical part | $57.54 | $93.33 | $154.88 |
Pacific Source Setting Facility Modifier None Typical Low $37.15 Median $112.20 Typical High $173.78 | Facility | None | $37.15 | $112.20 | $173.78 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $33.88 Median $33.88 Typical High $114.82 | Professional | None (both parts) | $33.88 | $33.88 | $114.82 |
Providence Setting Facility Modifier None Typical Low $173.78 Median $239.88 Typical High $354.81 | Facility | None | $173.78 | $239.88 | $354.81 |
Providence Setting Professional Modifier None (both parts) Typical Low $123.03 Median $177.83 Typical High $251.19 | Professional | None (both parts) | $123.03 | $177.83 | $251.19 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $46.77 Typical High $66.07 | Professional | 26 · Professional part | $32.36 | $46.77 | $66.07 |
Providence Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $131.83 Typical High $181.97 | Professional | TC · Technical part | $91.20 | $131.83 | $181.97 |
Regence BlueShield Setting Facility Modifier None Typical Low $309.03 Median $389.05 Typical High $501.19 | Facility | None | $309.03 | $389.05 | $501.19 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $151.36 Median $158.49 Typical High $223.87 | Professional | None (both parts) | $151.36 | $158.49 | $223.87 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $43.65 Typical High $63.10 | Professional | 26 · Professional part | $41.69 | $43.65 | $63.10 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $117.49 Typical High $162.18 | Professional | TC · Technical part | $109.65 | $117.49 | $162.18 |
United Setting Facility Modifier None Typical Low $331.13 Median $416.87 Typical High $512.86 | Facility | None | $331.13 | $416.87 | $512.86 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $158.49 Typical High $269.15 | Professional | None (both parts) | $91.20 | $158.49 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $41.69 Typical High $72.44 | Professional | 26 · Professional part | $23.99 | $41.69 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $117.49 Typical High $199.53 | Professional | TC · Technical part | $69.18 | $117.49 | $199.53 |
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 $36.31 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $36.31 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $25.12 Typical High $25.12 | Professional | 53 · Discontinued | $14.45 | $25.12 | $25.12 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $33.88 | $61.66 | $61.66 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $25.12 Typical High $25.12 | Professional | 53 · Discontinued | $13.49 | $25.12 | $25.12 |
Where Oregon sits
The same service costs 3.8 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· 9th of 51
$151
AK $245UT $64.57
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.