How much rates vary
Facilitymedian $155 · 10th to 90th $87 to $871Professionalmedian $234 · 10th to 90th $166 to $372
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 $398.11 Median $398.11 Typical High $512.86 | Facility | TC · Technical part | $398.11 | $398.11 | $512.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $190.55 Typical High $229.09 | Professional | None (both parts) | $131.83 | $190.55 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $72.44 Typical High $81.28 | Professional | 26 · Professional part | $47.86 | $72.44 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $117.49 Typical High $173.78 | Professional | TC · Technical part | $77.62 | $117.49 | $173.78 |
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 $169.82 Median $223.87 Typical High $407.38 | Professional | None (both parts) | $169.82 | $223.87 | $407.38 |
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 $97.72 Median $134.90 Typical High $239.88 | Professional | TC · Technical part | $97.72 | $134.90 | $239.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $234.42 Median $269.15 Typical High $331.13 | Professional | None | $234.42 | $269.15 | $331.13 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $117.49 Typical High $141.25 | Professional | 26 · Professional part | $100.00 | $117.49 | $141.25 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $151.36 Typical High $194.98 | Professional | TC · Technical part | $131.83 | $151.36 | $194.98 |
Moda Health Setting Facility Modifier None Typical Low $173.78 Median $331.13 Typical High $676.08 | Facility | None | $173.78 | $331.13 | $676.08 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $173.78 Median $208.93 Typical High $346.74 | Professional | None (both parts) | $173.78 | $208.93 | $346.74 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $72.44 Typical High $158.49 | Professional | 26 · Professional part | $50.12 | $72.44 | $158.49 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $128.82 Typical High $204.17 | Professional | TC · Technical part | $93.33 | $128.82 | $204.17 |
Pacific Source Setting Facility Modifier None Typical Low $87.10 Median $138.04 Typical High $281.84 | Facility | None | $87.10 | $138.04 | $281.84 |
Providence Setting Facility Modifier None Typical Low $245.47 Median $426.58 Typical High $4,786.30 | Facility | None | $245.47 | $426.58 | $4,786.30 |
Providence Setting Professional Modifier None (both parts) Typical Low $177.83 Median $275.42 Typical High $380.19 | Professional | None (both parts) | $177.83 | $275.42 | $380.19 |
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 $100.00 Median $169.82 Typical High $251.19 | Professional | TC · Technical part | $100.00 | $169.82 | $251.19 |
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 $218.78 Median $234.42 Typical High $331.13 | Professional | None (both parts) | $218.78 | $234.42 | $331.13 |
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 $123.03 Median $128.82 Typical High $194.98 | Professional | TC · Technical part | $123.03 | $128.82 | $194.98 |
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 $131.83 Median $269.15 Typical High $407.38 | Professional | None (both parts) | $131.83 | $269.15 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $97.72 Typical High $169.82 | Professional | 26 · Professional part | $57.54 | $97.72 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $151.36 Typical High $251.19 | Professional | TC · Technical part | $75.86 | $151.36 | $251.19 |
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 $52.48 Median $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $52.48 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $20.89 | $34.67 | $34.67 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $48.98 | $87.10 | $87.10 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $19.50 | $34.67 | $34.67 |
Where Oregon sits
The same service costs 4.8 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· 14th of 51
$229
AK $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.