How much rates vary
Facilitymedian $174 · 10th to 90th $95 to $813Professionalmedian $229 · 10th to 90th $158 to $363
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 $371.54 Median $371.54 Typical High $478.63 | Facility | TC · Technical part | $371.54 | $371.54 | $478.63 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $186.21 Typical High $229.09 | Professional | None (both parts) | $125.89 | $186.21 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $70.79 Typical High $81.28 | Professional | 26 · Professional part | $48.98 | $70.79 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $109.65 Typical High $173.78 | Professional | TC · Technical part | $72.44 | $109.65 | $173.78 |
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 $165.96 Median $223.87 Typical High $389.05 | Professional | None (both parts) | $165.96 | $223.87 | $389.05 |
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 $93.33 Median $125.89 Typical High $223.87 | Professional | TC · Technical part | $93.33 | $125.89 | $223.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $223.87 Median $257.04 Typical High $316.23 | Professional | None | $223.87 | $257.04 | $316.23 |
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 $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 $165.96 Median $323.59 Typical High $676.08 | Facility | None | $165.96 | $323.59 | $676.08 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $165.96 Median $204.17 Typical High $363.08 | Professional | None (both parts) | $165.96 | $204.17 | $363.08 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $70.79 Typical High $154.88 | Professional | 26 · Professional part | $48.98 | $70.79 | $154.88 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $120.23 Typical High $194.98 | Professional | TC · Technical part | $83.18 | $120.23 | $194.98 |
Pacific Source Setting Facility Modifier None Typical Low $87.10 Median $131.83 Typical High $363.08 | Facility | None | $87.10 | $131.83 | $363.08 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $60.26 Median $70.79 Typical High $120.23 | Professional | None (both parts) | $60.26 | $70.79 | $120.23 |
Providence Setting Facility Modifier None Typical Low $229.09 Median $416.87 Typical High $9,549.93 | Facility | None | $229.09 | $416.87 | $9,549.93 |
Providence Setting Professional Modifier None (both parts) Typical Low $173.78 Median $269.15 Typical High $371.54 | Professional | None (both parts) | $173.78 | $269.15 | $371.54 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $107.15 Typical High $154.88 | Professional | 26 · Professional part | $74.13 | $107.15 | $154.88 |
Providence Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $158.49 Typical High $251.19 | Professional | TC · Technical part | $95.50 | $158.49 | $251.19 |
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 $213.80 Median $223.87 Typical High $323.59 | Professional | None (both parts) | $213.80 | $223.87 | $323.59 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $102.33 Typical High $147.91 | Professional | 26 · Professional part | $97.72 | $102.33 | $147.91 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $120.23 Typical High $181.97 | Professional | TC · Technical part | $114.82 | $120.23 | $181.97 |
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 $128.82 Median $257.04 Typical High $398.11 | Professional | None (both parts) | $128.82 | $257.04 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $97.72 Typical High $169.82 | Professional | 26 · Professional part | $56.23 | $97.72 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $144.54 Typical High $239.88 | Professional | TC · Technical part | $70.79 | $144.54 | $239.88 |
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 $50.12 Median $83.18 Typical High $83.18 | Professional | 52 · Reduced service | $50.12 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $33.11 Typical High $33.11 | Professional | 53 · Discontinued | $19.95 | $33.11 | $33.11 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $83.18 Typical High $83.18 | Professional | 52 · Reduced service | $46.77 | $83.18 | $83.18 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $33.11 Typical High $33.11 | Professional | 53 · Discontinued | $18.62 | $33.11 | $33.11 |
Where Oregon sits
The same service costs 4.8 times more in Kansas 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
$224
KS $363UT $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.