How much rates vary
Facilitymedian $166 · 10th to 90th $93 to $813Professionalmedian $245 · 10th to 90th $158 to $398
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 $123.03 Median $186.21 Typical High $234.42 | Professional | None (both parts) | $123.03 | $186.21 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $72.44 Typical High $72.44 | Professional | 26 · Professional part | $50.12 | $72.44 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $112.20 Typical High $177.83 | Professional | TC · Technical part | $72.44 | $112.20 | $177.83 |
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 $186.21 Median $239.88 Typical High $436.52 | Professional | None (both parts) | $186.21 | $239.88 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $93.33 Typical High $162.18 | Professional | 26 · Professional part | $64.57 | $93.33 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $147.91 Typical High $263.03 | Professional | TC · Technical part | $109.65 | $147.91 | $263.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $257.04 Median $295.12 Typical High $363.08 | Professional | None | $257.04 | $295.12 | $363.08 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $120.23 Typical High $144.54 | Professional | 26 · Professional part | $102.33 | $120.23 | $144.54 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $173.78 Typical High $223.87 | Professional | TC · Technical part | $151.36 | $173.78 | $223.87 |
Moda Health Setting Facility Modifier None Typical Low $186.21 Median $346.74 Typical High $457.09 | Facility | None | $186.21 | $346.74 | $457.09 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $147.91 Median $213.80 Typical High $380.19 | Professional | None (both parts) | $147.91 | $213.80 | $380.19 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $72.44 Typical High $141.25 | Professional | 26 · Professional part | $51.29 | $72.44 | $141.25 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $131.83 Typical High $234.42 | Professional | TC · Technical part | $89.13 | $131.83 | $234.42 |
Pacific Source Setting Facility Modifier None Typical Low $87.10 Median $151.36 Typical High $275.42 | Facility | None | $87.10 | $151.36 | $275.42 |
Providence Setting Facility Modifier None Typical Low $269.15 Median $426.58 Typical High $9,549.93 | Facility | None | $269.15 | $426.58 | $9,549.93 |
Providence Setting Professional Modifier None (both parts) Typical Low $190.55 Median $288.40 Typical High $398.11 | Professional | None (both parts) | $190.55 | $288.40 | $398.11 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $109.65 Typical High $154.88 | Professional | 26 · Professional part | $75.86 | $109.65 | $154.88 |
Providence Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $181.97 Typical High $269.15 | Professional | TC · Technical part | $112.20 | $181.97 | $269.15 |
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 $234.42 Median $245.47 Typical High $354.81 | Professional | None (both parts) | $234.42 | $245.47 | $354.81 |
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 $134.90 Median $144.54 Typical High $213.80 | Professional | TC · Technical part | $134.90 | $144.54 | $213.80 |
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 $141.25 Median $281.84 Typical High $436.52 | Professional | None (both parts) | $141.25 | $281.84 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $100.00 Typical High $169.82 | Professional | 26 · Professional part | $57.54 | $100.00 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $165.96 Typical High $251.19 | Professional | TC · Technical part | $83.18 | $165.96 | $251.19 |
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 $87.10 Median $87.10 Typical High $112.20 | Facility | 53 · Discontinued | $87.10 | $87.10 | $112.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $93.33 Typical High $93.33 | Professional | 52 · Reduced service | $54.95 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $22.39 | $37.15 | $37.15 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $93.33 Typical High $93.33 | Professional | 52 · Reduced service | $51.29 | $93.33 | $93.33 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $20.89 | $37.15 | $37.15 |
Where Oregon sits
The same service costs 4.1 times more in Alaska than in Texas. 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
$240
AK $389TX $95.50
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.