How much rates vary
Facilitymedian $158 · 10th to 90th $58 to $1,380Professionalmedian $209 · 10th to 90th $138 to $339
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 $95.50 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $95.50 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $45.71 Typical High $45.71 | Professional | 26 · Professional part | $29.51 | $45.71 | $45.71 |
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 $147.91 Median $199.53 Typical High $346.74 | Professional | None (both parts) | $147.91 | $199.53 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $58.88 Typical High $102.33 | Professional | 26 · Professional part | $40.74 | $58.88 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $141.25 Typical High $263.03 | Professional | TC · Technical part | $107.15 | $141.25 | $263.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $208.93 Median $239.88 Typical High $302.00 | Professional | None | $208.93 | $239.88 | $302.00 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $74.13 Typical High $87.10 | Professional | 26 · Professional part | $61.66 | $74.13 | $87.10 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $165.96 Typical High $213.80 | Professional | TC · Technical part | $144.54 | $165.96 | $213.80 |
Moda Health Setting Facility Modifier None Typical Low $158.49 Median $363.08 Typical High $371.54 | Facility | None | $158.49 | $363.08 | $371.54 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $123.03 Median $173.78 Typical High $323.59 | Professional | None (both parts) | $123.03 | $173.78 | $323.59 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $45.71 Typical High $89.13 | Professional | 26 · Professional part | $37.15 | $45.71 | $89.13 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $114.82 Typical High $199.53 | Professional | TC · Technical part | $66.07 | $114.82 | $199.53 |
Pacific Source Setting Facility Modifier None Typical Low $54.95 Median $147.91 Typical High $229.09 | Facility | None | $54.95 | $147.91 | $229.09 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $147.91 | Professional | None (both parts) | $66.07 | $66.07 | $147.91 |
Providence Setting Facility Modifier None Typical Low $218.78 Median $363.08 Typical High $1,905.46 | Facility | None | $218.78 | $363.08 | $1,905.46 |
Providence Setting Professional Modifier None (both parts) Typical Low $162.18 Median $239.88 Typical High $354.81 | Professional | None (both parts) | $162.18 | $239.88 | $354.81 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $69.18 Typical High $97.72 | Professional | 26 · Professional part | $47.86 | $69.18 | $97.72 |
Providence Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $169.82 Typical High $269.15 | Professional | TC · Technical part | $114.82 | $169.82 | $269.15 |
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 $199.53 Median $208.93 Typical High $323.59 | Professional | None (both parts) | $199.53 | $208.93 | $323.59 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $64.57 Typical High $93.33 | Professional | 26 · Professional part | $61.66 | $64.57 | $93.33 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $144.54 Typical High $223.87 | Professional | TC · Technical part | $138.04 | $144.54 | $223.87 |
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 $120.23 Median $204.17 Typical High $371.54 | Professional | None (both parts) | $120.23 | $204.17 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $61.66 Typical High $107.15 | Professional | 26 · Professional part | $35.48 | $61.66 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $144.54 Typical High $257.04 | Professional | TC · Technical part | $85.11 | $144.54 | $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 $47.86 Median $79.43 Typical High $79.43 | Professional | 52 · Reduced service | $47.86 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $19.05 | $31.62 | $31.62 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $79.43 Typical High $79.43 | Professional | 52 · Reduced service | $44.67 | $79.43 | $79.43 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $17.78 | $31.62 | $31.62 |
Where Oregon sits
The same service costs 4.6 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· 9th of 51
$204
AK $324TX $70.79
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.