How much rates vary
Facilitymedian $214 · 10th to 90th $95 to $1,995Professionalmedian $302 · 10th to 90th $204 to $479
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 $616.60 Median $616.60 Typical High $794.33 | Facility | TC · Technical part | $616.60 | $616.60 | $794.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $154.88 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $79.43 Typical High $79.43 | Professional | 26 · Professional part | $51.29 | $79.43 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $158.49 Typical High $173.78 | Professional | TC · Technical part | $95.50 | $158.49 | $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 $234.42 Median $302.00 Typical High $524.81 | Professional | None (both parts) | $234.42 | $302.00 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $100.00 Typical High $177.83 | Professional | 26 · Professional part | $67.61 | $100.00 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $199.53 Typical High $346.74 | Professional | TC · Technical part | $154.88 | $199.53 | $346.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $363.08 Median $416.87 Typical High $524.81 | Professional | None | $363.08 | $416.87 | $524.81 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $138.04 Typical High $165.96 | Professional | 26 · Professional part | $117.49 | $138.04 | $165.96 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $281.84 Typical High $354.81 | Professional | TC · Technical part | $239.88 | $281.84 | $354.81 |
Moda Health Setting Facility Modifier None Typical Low $239.88 Median $363.08 Typical High $457.09 | Facility | None | $239.88 | $363.08 | $457.09 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $208.93 Median $239.88 Typical High $489.78 | Professional | None (both parts) | $208.93 | $239.88 | $489.78 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $79.43 Typical High $169.82 | Professional | 26 · Professional part | $51.29 | $79.43 | $169.82 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $158.49 Typical High $323.59 | Professional | TC · Technical part | $138.04 | $158.49 | $323.59 |
Pacific Source Setting Facility Modifier None Typical Low $95.50 Median $194.98 Typical High $363.08 | Facility | None | $95.50 | $194.98 | $363.08 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $213.80 | Professional | None (both parts) | $114.82 | $114.82 | $213.80 |
Providence Setting Facility Modifier None Typical Low $338.84 Median $457.09 Typical High $9,549.93 | Facility | None | $338.84 | $457.09 | $9,549.93 |
Providence Setting Professional Modifier None (both parts) Typical Low $245.47 Median $338.84 Typical High $478.63 | Professional | None (both parts) | $245.47 | $338.84 | $478.63 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $114.82 Typical High $173.78 | Professional | 26 · Professional part | $83.18 | $114.82 | $173.78 |
Providence Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $223.87 Typical High $323.59 | Professional | TC · Technical part | $162.18 | $223.87 | $323.59 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,041.74 Median $8,709.64 Typical High $12,882.50 | Facility | None | $2,041.74 | $8,709.64 | $12,882.50 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $281.84 Median $302.00 Typical High $457.09 | Professional | None (both parts) | $281.84 | $302.00 | $457.09 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $112.20 Typical High $165.96 | Professional | 26 · Professional part | $100.00 | $112.20 | $165.96 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $190.55 Typical High $288.40 | Professional | TC · Technical part | $181.97 | $190.55 | $288.40 |
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 $165.96 Median $354.81 Typical High $549.54 | Professional | None (both parts) | $165.96 | $354.81 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $112.20 Typical High $186.21 | Professional | 26 · Professional part | $58.88 | $112.20 | $186.21 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $229.09 Typical High $363.08 | Professional | TC · Technical part | $109.65 | $229.09 | $363.08 |
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 $70.79 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $70.79 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $28.18 | $47.86 | $47.86 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $66.07 | $120.23 | $120.23 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $26.30 | $47.86 | $47.86 |
Where Oregon sits
The same service costs 3.8 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· 15th of 51
$295
AK $468UT $123
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.