How much rates vary
Facilitymedian $110 · 10th to 90th $22 to $141Professionalmedian $1,738 · 10th to 90th $708 to $3,631
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 $5,011.87 Median $5,011.87 Typical High $6,456.54 | Facility | TC · Technical part | $5,011.87 | $5,011.87 | $6,456.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $562.34 Median $1,380.38 Typical High $1,380.38 | Professional | None (both parts) | $562.34 | $1,380.38 | $1,380.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $91.20 Typical High $194.98 | Professional | 26 · Professional part | $60.26 | $91.20 | $194.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $1,288.25 Typical High $1,288.25 | Professional | TC · Technical part | $371.54 | $1,288.25 | $1,288.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $1,995.26 Typical High $2,951.21 | Professional | None (both parts) | $1,479.11 | $1,995.26 | $2,951.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $128.82 Typical High $190.55 | Professional | 26 · Professional part | $95.50 | $128.82 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,380.38 Median $1,862.09 Typical High $2,754.23 | Professional | TC · Technical part | $1,380.38 | $1,862.09 | $2,754.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $602.56 Median $691.83 Typical High $870.96 | Professional | None | $602.56 | $691.83 | $870.96 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $269.15 Typical High $331.13 | Professional | 26 · Professional part | $234.42 | $269.15 | $331.13 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $416.87 Typical High $537.03 | Professional | TC · Technical part | $363.08 | $416.87 | $537.03 |
Moda Health Setting Facility Modifier None Typical Low $141.25 Median $1,621.81 Typical High $2,398.83 | Facility | None | $141.25 | $1,621.81 | $2,398.83 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $524.81 Median $1,000.00 Typical High $1,380.38 | Professional | None (both parts) | $524.81 | $1,000.00 | $1,380.38 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $114.82 Typical High $223.87 | Professional | 26 · Professional part | $61.66 | $114.82 | $223.87 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $933.25 Typical High $1,288.25 | Professional | TC · Technical part | $309.03 | $933.25 | $1,288.25 |
Pacific Source Setting Facility Modifier None Typical Low $21.88 Median $97.72 Typical High $138.04 | Facility | None | $21.88 | $97.72 | $138.04 |
Providence Setting Facility Modifier None Typical Low $141.25 Median $501.19 Typical High $2,398.83 | Facility | None | $141.25 | $501.19 | $2,398.83 |
Providence Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $2,818.38 Typical High $2,398,832.92 | Professional | None (both parts) | $1,548.82 | $2,818.38 | $2,398,832.92 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $138.04 Typical High $204.17 | Professional | 26 · Professional part | $97.72 | $138.04 | $204.17 |
Providence Setting Professional Modifier TC · Technical part Typical Low $1,412.54 Median $2,089.30 Typical High $2,818.38 | Professional | TC · Technical part | $1,412.54 | $2,089.30 | $2,818.38 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $1,862.09 Median $1,949.84 Typical High $3,019.95 | Professional | None (both parts) | $1,862.09 | $1,949.84 | $3,019.95 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $138.04 Typical High $208.93 | Professional | 26 · Professional part | $131.83 | $138.04 | $208.93 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $1,737.80 Median $1,819.70 Typical High $2,818.38 | Professional | TC · Technical part | $1,737.80 | $1,819.70 | $2,818.38 |
United Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,258.93 Typical High $3,630.78 | Professional | None (both parts) | $1,023.29 | $1,258.93 | $3,630.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $81.28 Typical High $245.47 | Professional | 26 · Professional part | $67.61 | $81.28 | $245.47 |
United Setting Professional Modifier TC · Technical part Typical Low $954.99 Median $1,174.90 Typical High $3,388.44 | Professional | TC · Technical part | $954.99 | $1,174.90 | $3,388.44 |
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 $524.81 Median $691.83 Typical High $691.83 | Professional | 52 · Reduced service | $524.81 | $691.83 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $275.42 Typical High $275.42 | Professional | 53 · Discontinued | $208.93 | $275.42 | $275.42 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | 52 · Reduced service | $691.83 | $691.83 | $691.83 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | 53 · Discontinued | $275.42 | $275.42 | $275.42 |
Where Oregon sits
The same service costs 20.4 times more in Alaska than in Oregon. 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· 51st of 51
$135
AK $2,754OR $135
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.