How much rates vary
Facilitymedian $138 · 10th to 90th $62 to $513Professionalmedian $200 · 10th to 90th $112 to $309
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 $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $162.18 Typical High $190.55 | Professional | None (both parts) | $112.20 | $162.18 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $64.57 Typical High $75.86 | Professional | 26 · Professional part | $30.20 | $64.57 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $95.50 Typical High $114.82 | Professional | TC · Technical part | $69.18 | $95.50 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $3,388.44 Median $4,786.30 Typical High $5,754.40 | Facility | None | $3,388.44 | $4,786.30 | $5,754.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $194.98 Typical High $331.13 | Professional | None (both parts) | $134.90 | $194.98 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $77.62 Typical High $144.54 | Professional | 26 · Professional part | $45.71 | $77.62 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $109.65 Typical High $190.55 | Professional | TC · Technical part | $85.11 | $109.65 | $190.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $213.80 Median $245.47 Typical High $302.00 | Professional | None | $213.80 | $245.47 | $302.00 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $109.65 Typical High $128.82 | Professional | 26 · Professional part | $91.20 | $109.65 | $128.82 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $134.90 Typical High $173.78 | Professional | TC · Technical part | $117.49 | $134.90 | $173.78 |
Moda Health Setting Facility Modifier None Typical Low $162.18 Median $275.42 Typical High $2,754.23 | Facility | None | $162.18 | $275.42 | $2,754.23 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $112.20 Median $162.18 Typical High $257.04 | Professional | None (both parts) | $112.20 | $162.18 | $257.04 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $67.61 Typical High $125.89 | Professional | 26 · Professional part | $31.62 | $67.61 | $125.89 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $97.72 Typical High $154.88 | Professional | TC · Technical part | $69.18 | $97.72 | $154.88 |
Pacific Source Setting Facility Modifier None Typical Low $56.23 Median $114.82 Typical High $213.80 | Facility | None | $56.23 | $114.82 | $213.80 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $64.57 Median $70.79 Typical High $158.49 | Professional | None (both parts) | $64.57 | $70.79 | $158.49 |
Providence Setting Facility Modifier None Typical Low $218.78 Median $316.23 Typical High $4,786.30 | Facility | None | $218.78 | $316.23 | $4,786.30 |
Providence Setting Professional Modifier None (both parts) Typical Low $158.49 Median $229.09 Typical High $316.23 | Professional | None (both parts) | $158.49 | $229.09 | $316.23 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $77.62 Typical High $141.25 | Professional | 26 · Professional part | $53.70 | $77.62 | $141.25 |
Providence Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $144.54 Typical High $194.98 | Professional | TC · Technical part | $89.13 | $144.54 | $194.98 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,905.46 Median $4,365.16 Typical High $6,456.54 | Facility | None | $1,905.46 | $4,365.16 | $6,456.54 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $199.53 Median $208.93 Typical High $302.00 | Professional | None (both parts) | $199.53 | $208.93 | $302.00 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $95.50 Typical High $134.90 | Professional | 26 · Professional part | $72.44 | $95.50 | $134.90 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $117.49 Typical High $169.82 | Professional | TC · Technical part | $109.65 | $117.49 | $169.82 |
United Setting Facility Modifier None Typical Low $5,011.87 Median $6,165.95 Typical High $7,762.47 | Facility | None | $5,011.87 | $6,165.95 | $7,762.47 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $186.21 Typical High $331.13 | Professional | None (both parts) | $109.65 | $186.21 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $61.66 Typical High $141.25 | Professional | 26 · Professional part | $35.48 | $61.66 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $125.89 Typical High $199.53 | Professional | TC · Technical part | $74.13 | $125.89 | $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 $48.98 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $48.98 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $19.50 | $32.36 | $32.36 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $45.71 | $81.28 | $81.28 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $18.20 | $32.36 | $32.36 |
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· 10th of 51
$191
AK $316UT $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.