How much rates vary
Facilitymedian $191 · 10th to 90th $74 to $562Professionalmedian $219 · 10th to 90th $126 to $347
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 $169.82 Median $229.09 Typical High $269.15 | Facility | None | $169.82 | $229.09 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $169.82 Typical High $239.88 | Professional | None (both parts) | $123.03 | $169.82 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $52.48 Typical High $74.13 | Professional | 26 · Professional part | $34.67 | $52.48 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $117.49 Typical High $158.49 | Professional | TC · Technical part | $83.18 | $117.49 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $346.74 Typical High $398.11 | Facility | None | $229.09 | $346.74 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $199.53 Typical High $354.81 | Professional | None (both parts) | $141.25 | $199.53 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $63.10 Typical High $112.20 | Professional | 26 · Professional part | $43.65 | $63.10 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $138.04 Typical High $239.88 | Professional | TC · Technical part | $95.50 | $138.04 | $239.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $218.78 Median $263.03 Typical High $323.59 | Professional | None | $218.78 | $263.03 | $323.59 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $85.11 Typical High $102.33 | Professional | 26 · Professional part | $70.79 | $85.11 | $102.33 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $177.83 Typical High $223.87 | Professional | TC · Technical part | $151.36 | $177.83 | $223.87 |
Moda Health Setting Facility Modifier None Typical Low $123.03 Median $524.81 Typical High $794.33 | Facility | None | $123.03 | $524.81 | $794.33 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $144.54 Median $616.60 Typical High $933.25 | Facility | TC · Technical part | $144.54 | $616.60 | $933.25 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $125.89 Median $194.98 Typical High $467.74 | Professional | None (both parts) | $125.89 | $194.98 | $467.74 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $60.26 Typical High $141.25 | Professional | 26 · Professional part | $36.31 | $60.26 | $141.25 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $120.23 Typical High $245.47 | Professional | TC · Technical part | $87.10 | $120.23 | $245.47 |
Pacific Source Setting Facility Modifier None Typical Low $66.07 Median $147.91 Typical High $234.42 | Facility | None | $66.07 | $147.91 | $234.42 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $128.82 | Professional | None (both parts) | $64.57 | $64.57 | $128.82 |
Providence Setting Facility Modifier None Typical Low $234.42 Median $309.03 Typical High $436.52 | Facility | None | $234.42 | $309.03 | $436.52 |
Providence Setting Professional Modifier None (both parts) Typical Low $173.78 Median $239.88 Typical High $338.84 | Professional | None (both parts) | $173.78 | $239.88 | $338.84 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $74.13 Typical High $112.20 | Professional | 26 · Professional part | $54.95 | $74.13 | $112.20 |
Providence Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $158.49 Typical High $229.09 | Professional | TC · Technical part | $117.49 | $158.49 | $229.09 |
Regence BlueShield Setting Facility Modifier None Typical Low $309.03 Median $389.05 Typical High $501.19 | Facility | None | $309.03 | $389.05 | $501.19 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $218.78 Median $229.09 Typical High $323.59 | Professional | None (both parts) | $218.78 | $229.09 | $323.59 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $74.13 Typical High $104.71 | Professional | 26 · Professional part | $70.79 | $74.13 | $104.71 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $154.88 Typical High $213.80 | Professional | TC · Technical part | $147.91 | $154.88 | $213.80 |
United Setting Facility Modifier None Typical Low $331.13 Median $416.87 Typical High $512.86 | Facility | None | $331.13 | $416.87 | $512.86 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $144.54 Typical High $371.54 | Professional | None (both parts) | $125.89 | $144.54 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $44.67 Typical High $123.03 | Professional | 26 · Professional part | $40.74 | $44.67 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $100.00 Typical High $257.04 | Professional | TC · Technical part | $83.18 | $100.00 | $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 $53.70 Median $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $53.70 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $33.88 Typical High $33.88 | Professional | 53 · Discontinued | $21.38 | $33.88 | $33.88 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $56.23 | $85.11 | $85.11 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $33.88 Typical High $33.88 | Professional | 53 · Discontinued | $22.39 | $33.88 | $33.88 |
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· 9th of 51
$214
AK $355TX $93.33
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.