How much rates vary
Facilitymedian $155 · 10th to 90th $87 to $6,761Professionalmedian $234 · 10th to 90th $162 to $380
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 $134.90 Median $173.78 Typical High $234.42 | Professional | None (both parts) | $134.90 | $173.78 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $69.18 Typical High $77.62 | Professional | 26 · Professional part | $51.29 | $69.18 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $104.71 Typical High $173.78 | Professional | TC · Technical part | $77.62 | $104.71 | $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 $173.78 Median $229.09 Typical High $416.87 | Professional | None (both parts) | $173.78 | $229.09 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $89.13 Typical High $154.88 | Professional | 26 · Professional part | $66.07 | $89.13 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $141.25 Typical High $245.47 | Professional | TC · Technical part | $104.71 | $141.25 | $245.47 |
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 $95.50 Median $114.82 Typical High $134.90 | Professional | 26 · Professional part | $95.50 | $114.82 | $134.90 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $158.49 Typical High $199.53 | Professional | TC · Technical part | $138.04 | $158.49 | $199.53 |
Moda Health Setting Facility Modifier None Typical Low $173.78 Median $338.84 Typical High $676.08 | Facility | None | $173.78 | $338.84 | $676.08 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $173.78 Median $213.80 Typical High $354.81 | Professional | None (both parts) | $173.78 | $213.80 | $354.81 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $69.18 Typical High $134.90 | Professional | 26 · Professional part | $52.48 | $69.18 | $134.90 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $134.90 Typical High $218.78 | Professional | TC · Technical part | $85.11 | $134.90 | $218.78 |
Pacific Source Setting Facility Modifier None Typical Low $83.18 Median $138.04 Typical High $302.00 | Facility | None | $83.18 | $138.04 | $302.00 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $89.13 Median $138.04 Typical High $199.53 | Professional | None (both parts) | $89.13 | $138.04 | $199.53 |
Providence Setting Facility Modifier None Typical Low $245.47 Median $436.52 Typical High $9,549.93 | Facility | None | $245.47 | $436.52 | $9,549.93 |
Providence Setting Professional Modifier None (both parts) Typical Low $181.97 Median $281.84 Typical High $389.05 | Professional | None (both parts) | $181.97 | $281.84 | $389.05 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $109.65 Typical High $151.36 | Professional | 26 · Professional part | $72.44 | $109.65 | $151.36 |
Providence Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $173.78 Typical High $257.04 | Professional | TC · Technical part | $107.15 | $173.78 | $257.04 |
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 $223.87 Median $234.42 Typical High $338.84 | Professional | None (both parts) | $223.87 | $234.42 | $338.84 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $100.00 Typical High $141.25 | Professional | 26 · Professional part | $93.33 | $100.00 | $141.25 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $134.90 Typical High $199.53 | Professional | TC · Technical part | $128.82 | $134.90 | $199.53 |
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 $134.90 Median $269.15 Typical High $416.87 | Professional | None (both parts) | $134.90 | $269.15 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $95.50 Typical High $165.96 | Professional | 26 · Professional part | $54.95 | $95.50 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $154.88 Typical High $257.04 | Professional | TC · Technical part | $77.62 | $154.88 | $257.04 |
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 $81.28 Median $81.28 Typical High $104.71 | Facility | 53 · Discontinued | $81.28 | $81.28 | $104.71 |
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 4.9 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· 13th of 51
$234
AK $372UT $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.