How much rates vary
Facilitymedian $195 · 10th to 90th $95 to $372Professionalmedian $295 · 10th to 90th $145 to $501
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 $245.47 Median $275.42 Typical High $398.11 | Facility | None | $245.47 | $275.42 | $398.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $199.53 Typical High $281.84 | Professional | None (both parts) | $120.23 | $199.53 | $281.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $75.86 Typical High $100.00 | Professional | 26 · Professional part | $47.86 | $75.86 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $123.03 Typical High $173.78 | Professional | TC · Technical part | $72.44 | $123.03 | $173.78 |
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 $173.78 Median $309.03 Typical High $512.86 | Professional | None (both parts) | $173.78 | $309.03 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $100.00 Typical High $169.82 | Professional | 26 · Professional part | $63.10 | $100.00 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $208.93 Typical High $346.74 | Professional | TC · Technical part | $102.33 | $208.93 | $346.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $363.08 Median $436.52 Typical High $537.03 | Professional | None | $363.08 | $436.52 | $537.03 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $144.54 Typical High $169.82 | Professional | 26 · Professional part | $120.23 | $144.54 | $169.82 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $288.40 Typical High $371.54 | Professional | TC · Technical part | $245.47 | $288.40 | $371.54 |
Moda Health Setting Facility Modifier None Typical Low $239.88 Median $346.74 Typical High $537.03 | Facility | None | $239.88 | $346.74 | $537.03 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $144.54 Median $213.80 Typical High $478.63 | Professional | None (both parts) | $144.54 | $213.80 | $478.63 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $91.20 Typical High $186.21 | Professional | 26 · Professional part | $53.70 | $91.20 | $186.21 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $123.03 Typical High $316.23 | Professional | TC · Technical part | $87.10 | $123.03 | $316.23 |
Pacific Source Setting Facility Modifier None Typical Low $91.20 Median $158.49 Typical High $295.12 | Facility | None | $91.20 | $158.49 | $295.12 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $181.97 | Professional | None (both parts) | $102.33 | $102.33 | $181.97 |
Providence Setting Facility Modifier None Typical Low $234.42 Median $354.81 Typical High $676.08 | Facility | None | $234.42 | $354.81 | $676.08 |
Providence Setting Professional Modifier None (both parts) Typical Low $229.09 Median $309.03 Typical High $512.86 | Professional | None (both parts) | $229.09 | $309.03 | $512.86 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $109.65 Typical High $181.97 | Professional | 26 · Professional part | $81.28 | $109.65 | $181.97 |
Providence Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $199.53 Typical High $331.13 | Professional | TC · Technical part | $123.03 | $199.53 | $331.13 |
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 $302.00 Median $338.84 Typical High $467.74 | Professional | None (both parts) | $302.00 | $338.84 | $467.74 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $120.23 Typical High $165.96 | Professional | 26 · Professional part | $114.82 | $120.23 | $165.96 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $218.78 Typical High $302.00 | Professional | TC · Technical part | $194.98 | $218.78 | $302.00 |
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 $141.25 Median $173.78 Typical High $512.86 | Professional | None (both parts) | $141.25 | $173.78 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $67.61 Typical High $177.83 | Professional | 26 · Professional part | $57.54 | $67.61 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $102.33 Typical High $338.84 | Professional | TC · Technical part | $81.28 | $102.33 | $338.84 |
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 $66.07 Median $100.00 Typical High $100.00 | Professional | 52 · Reduced service | $66.07 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $26.30 | $39.81 | $39.81 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $100.00 Typical High $100.00 | Professional | 52 · Reduced service | $74.13 | $100.00 | $100.00 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $29.51 | $39.81 | $39.81 |
Where Oregon sits
The same service costs 4.9 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
$275
AK $468UT $95.50
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.