How much rates vary
Facilitymedian $186 · 10th to 90th $95 to $912Professionalmedian $263 · 10th to 90th $174 to $417
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 $446.68 Median $446.68 Typical High $575.44 | Facility | TC · Technical part | $446.68 | $446.68 | $575.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $190.55 Typical High $190.55 | Professional | None (both parts) | $114.82 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $74.13 Typical High $74.13 | Professional | 26 · Professional part | $47.86 | $74.13 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $114.82 Typical High $114.82 | Professional | TC · Technical part | $66.07 | $114.82 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $1,348.96 Median $1,905.46 Typical High $2,290.87 | Facility | None | $1,348.96 | $1,905.46 | $2,290.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $257.04 Typical High $446.68 | Professional | None (both parts) | $190.55 | $257.04 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $95.50 Typical High $162.18 | Professional | 26 · Professional part | $66.07 | $95.50 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $154.88 Typical High $281.84 | Professional | TC · Technical part | $112.20 | $154.88 | $281.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $251.19 Median $288.40 Typical High $354.81 | Professional | None | $251.19 | $288.40 | $354.81 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $120.23 Typical High $141.25 | Professional | 26 · Professional part | $100.00 | $120.23 | $141.25 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $169.82 Typical High $213.80 | Professional | TC · Technical part | $144.54 | $169.82 | $213.80 |
Moda Health Setting Facility Modifier None Typical Low $190.55 Median $380.19 Typical High $741.31 | Facility | None | $190.55 | $380.19 | $741.31 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $190.55 Median $223.87 Typical High $478.63 | Professional | None (both parts) | $190.55 | $223.87 | $478.63 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $74.13 Typical High $144.54 | Professional | 26 · Professional part | $60.26 | $74.13 | $144.54 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $114.82 Typical High $234.42 | Professional | TC · Technical part | $91.20 | $114.82 | $234.42 |
Pacific Source Setting Facility Modifier None Typical Low $87.10 Median $158.49 Typical High $426.58 | Facility | None | $87.10 | $158.49 | $426.58 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $120.23 Median $123.03 Typical High $208.93 | Professional | None (both parts) | $120.23 | $123.03 | $208.93 |
Providence Setting Facility Modifier None Typical Low $257.04 Median $478.63 Typical High $1,905.46 | Facility | None | $257.04 | $478.63 | $1,905.46 |
Providence Setting Professional Modifier None (both parts) Typical Low $194.98 Median $295.12 Typical High $426.58 | Professional | None (both parts) | $194.98 | $295.12 | $426.58 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $109.65 Typical High $158.49 | Professional | 26 · Professional part | $77.62 | $109.65 | $158.49 |
Providence Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $190.55 Typical High $309.03 | Professional | TC · Technical part | $114.82 | $190.55 | $309.03 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,737.80 Median $2,187.76 Typical High $2,818.38 | Facility | None | $1,737.80 | $2,187.76 | $2,818.38 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $239.88 Median $251.19 Typical High $380.19 | Professional | None (both parts) | $239.88 | $251.19 | $380.19 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $104.71 Typical High $147.91 | Professional | 26 · Professional part | $100.00 | $104.71 | $147.91 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $147.91 Typical High $218.78 | Professional | TC · Technical part | $138.04 | $147.91 | $218.78 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $2,511.89 Typical High $3,090.30 | Facility | None | $1,995.26 | $2,511.89 | $3,090.30 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $288.40 Typical High $446.68 | Professional | None (both parts) | $144.54 | $288.40 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $100.00 Typical High $173.78 | Professional | 26 · Professional part | $57.54 | $100.00 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $169.82 Typical High $257.04 | Professional | TC · Technical part | $85.11 | $169.82 | $257.04 |
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 $57.54 Median $95.50 Typical High $95.50 | Professional | 52 · Reduced service | $57.54 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $38.02 Typical High $38.02 | Professional | 53 · Discontinued | $22.91 | $38.02 | $38.02 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $95.50 Typical High $95.50 | Professional | 52 · Reduced service | $53.70 | $95.50 | $95.50 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $38.02 Typical High $38.02 | Professional | 53 · Discontinued | $21.38 | $38.02 | $38.02 |
Where Oregon sits
The same service costs 4.9 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· 16th of 51
$251
AK $398TX $81.28
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.