How much rates vary
Facilitymedian $182 · 10th to 90th $83 to $355Professionalmedian $263 · 10th to 90th $138 to $389
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 None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $239.88 Typical High $371.54 | Professional | None (both parts) | $144.54 | $239.88 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $70.79 Typical High $85.11 | Professional | 26 · Professional part | $41.69 | $70.79 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $165.96 Typical High $281.84 | Professional | TC · Technical part | $97.72 | $165.96 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $269.15 Typical High $269.15 | Facility | None | $100.00 | $269.15 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $147.91 Typical High $426.58 | Professional | None (both parts) | $138.04 | $147.91 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $46.77 Typical High $134.90 | Professional | 26 · Professional part | $44.67 | $46.77 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $100.00 Typical High $302.00 | Professional | TC · Technical part | $93.33 | $100.00 | $302.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $263.03 Median $302.00 Typical High $380.19 | Professional | None | $263.03 | $302.00 | $380.19 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $102.33 Typical High $120.23 | Professional | 26 · Professional part | $85.11 | $102.33 | $120.23 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $199.53 Typical High $257.04 | Professional | TC · Technical part | $173.78 | $199.53 | $257.04 |
Moda Health Setting Facility Modifier None Typical Low $316.23 Median $407.38 Typical High $524.81 | Facility | None | $316.23 | $407.38 | $524.81 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $147.91 Median $263.03 Typical High $371.54 | Professional | None (both parts) | $147.91 | $263.03 | $371.54 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $85.11 Typical High $117.49 | Professional | 26 · Professional part | $44.67 | $85.11 | $117.49 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $173.78 Typical High $281.84 | Professional | TC · Technical part | $102.33 | $173.78 | $281.84 |
Pacific Source Setting Facility Modifier None Typical Low $77.62 Median $173.78 Typical High $275.42 | Facility | None | $77.62 | $173.78 | $275.42 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $74.13 Median $123.03 Typical High $154.88 | Professional | None (both parts) | $74.13 | $123.03 | $154.88 |
Providence Setting Facility Modifier None Typical Low $269.15 Median $380.19 Typical High $524.81 | Facility | None | $269.15 | $380.19 | $524.81 |
Providence Setting Professional Modifier None (both parts) Typical Low $138.04 Median $288.40 Typical High $398.11 | Professional | None (both parts) | $138.04 | $288.40 | $398.11 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $89.13 Typical High $131.83 | Professional | 26 · Professional part | $44.67 | $89.13 | $131.83 |
Providence Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $199.53 Typical High $295.12 | Professional | TC · Technical part | $93.33 | $199.53 | $295.12 |
Regence BlueShield Setting Facility Modifier None Typical Low $208.93 Median $302.00 Typical High $371.54 | Facility | None | $208.93 | $302.00 | $371.54 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $251.19 Median $263.03 Typical High $371.54 | Professional | None (both parts) | $251.19 | $263.03 | $371.54 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $87.10 Typical High $123.03 | Professional | 26 · Professional part | $83.18 | $87.10 | $123.03 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $173.78 Typical High $245.47 | Professional | TC · Technical part | $165.96 | $173.78 | $245.47 |
United Setting Facility Modifier None Typical Low $275.42 Median $346.74 Typical High $426.58 | Facility | None | $275.42 | $346.74 | $426.58 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $257.04 Typical High $436.52 | Professional | None (both parts) | $125.89 | $257.04 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $83.18 Typical High $144.54 | Professional | 26 · Professional part | $41.69 | $83.18 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $173.78 Typical High $288.40 | Professional | TC · Technical part | $83.18 | $173.78 | $288.40 |
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 $64.57 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $64.57 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $26.30 | $74.13 | $74.13 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $63.10 | $186.21 | $186.21 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $25.12 | $74.13 | $74.13 |
Where Oregon sits
The same service costs 4.3 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· 10th of 51
$251
AK $447UT $105
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.