How much rates vary
Facilitymedian $68 · 10th to 90th $38 to $776Professionalmedian $112 · 10th to 90th $60 to $174
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 $194.98 Median $194.98 Typical High $251.19 | Facility | TC · Technical part | $194.98 | $194.98 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $83.18 Typical High $104.71 | Professional | None (both parts) | $56.23 | $83.18 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $33.88 Typical High $38.02 | Professional | 26 · Professional part | $23.44 | $33.88 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $50.12 Typical High $67.61 | Professional | TC · Technical part | $32.36 | $50.12 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $1,698.24 Typical High $2,041.74 | Facility | None | $1,174.90 | $1,698.24 | $2,041.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $107.15 Typical High $181.97 | Professional | None (both parts) | $74.13 | $107.15 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $42.66 Typical High $74.13 | Professional | 26 · Professional part | $30.20 | $42.66 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $63.10 Typical High $109.65 | Professional | TC · Technical part | $41.69 | $63.10 | $109.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $117.49 Median $134.90 Typical High $165.96 | Professional | None | $117.49 | $134.90 | $165.96 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $54.95 Typical High $64.57 | Professional | 26 · Professional part | $45.71 | $54.95 | $64.57 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $79.43 Typical High $102.33 | Professional | TC · Technical part | $69.18 | $79.43 | $102.33 |
Moda Health Setting Facility Modifier None Typical Low $83.18 Median $134.90 Typical High $2,137.96 | Facility | None | $83.18 | $134.90 | $2,137.96 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $56.23 Median $83.18 Typical High $158.49 | Professional | None (both parts) | $56.23 | $83.18 | $158.49 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $33.88 Typical High $74.13 | Professional | 26 · Professional part | $23.44 | $33.88 | $74.13 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $50.12 Typical High $85.11 | Professional | TC · Technical part | $32.36 | $50.12 | $85.11 |
Pacific Source Setting Facility Modifier None Typical Low $37.15 Median $61.66 Typical High $117.49 | Facility | None | $37.15 | $61.66 | $117.49 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $32.36 Median $42.66 Typical High $54.95 | Professional | None (both parts) | $32.36 | $42.66 | $54.95 |
Providence Setting Facility Modifier None Typical Low $120.23 Median $162.18 Typical High $1,698.24 | Facility | None | $120.23 | $162.18 | $1,698.24 |
Providence Setting Professional Modifier None (both parts) Typical Low $89.13 Median $120.23 Typical High $173.78 | Professional | None (both parts) | $89.13 | $120.23 | $173.78 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $51.29 Typical High $72.44 | Professional | 26 · Professional part | $35.48 | $51.29 | $72.44 |
Providence Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $67.61 Typical High $104.71 | Professional | TC · Technical part | $47.86 | $67.61 | $104.71 |
Regence BlueShield Setting Facility Modifier None Typical Low $776.25 Median $1,737.80 Typical High $2,187.76 | Facility | None | $776.25 | $1,737.80 | $2,187.76 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $109.65 Median $117.49 Typical High $165.96 | Professional | None (both parts) | $109.65 | $117.49 | $165.96 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $47.86 Typical High $69.18 | Professional | 26 · Professional part | $45.71 | $47.86 | $69.18 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $69.18 Typical High $97.72 | Professional | TC · Technical part | $61.66 | $69.18 | $97.72 |
United Setting Facility Modifier None Typical Low $1,737.80 Median $2,187.76 Typical High $2,691.53 | Facility | None | $1,737.80 | $2,187.76 | $2,691.53 |
United Setting Professional Modifier None (both parts) Typical Low $58.88 Median $104.71 Typical High $181.97 | Professional | None (both parts) | $58.88 | $104.71 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $45.71 Typical High $79.43 | Professional | 26 · Professional part | $26.92 | $45.71 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $58.88 Typical High $102.33 | Professional | TC · Technical part | $33.88 | $58.88 | $102.33 |
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 $26.92 Median $41.69 Typical High $41.69 | Professional | 52 · Reduced service | $26.92 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $16.60 Typical High $16.60 | Professional | 53 · Discontinued | $10.72 | $16.60 | $16.60 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $25.12 Median $41.69 Typical High $41.69 | Professional | 52 · Reduced service | $25.12 | $41.69 | $41.69 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $16.60 Typical High $16.60 | Professional | 53 · Discontinued | $10.00 | $16.60 | $16.60 |
Where Oregon sits
The same service costs 3.8 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· 10th of 51
$105
AK $178TX $46.77
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.