How much rates vary
Facilitymedian $155 · 10th to 90th $58 to $447Professionalmedian $186 · 10th to 90th $107 to $295
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 $147.91 Median $204.17 Typical High $245.47 | Facility | None | $147.91 | $204.17 | $245.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $147.91 Typical High $186.21 | Professional | None (both parts) | $109.65 | $147.91 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $41.69 Typical High $56.23 | Professional | 26 · Professional part | $27.54 | $41.69 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $104.71 Typical High $138.04 | Professional | TC · Technical part | $75.86 | $104.71 | $138.04 |
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 $109.65 Median $169.82 Typical High $309.03 | Professional | None (both parts) | $109.65 | $169.82 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $50.12 Typical High $87.10 | Professional | 26 · Professional part | $34.67 | $50.12 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $123.03 Typical High $213.80 | Professional | TC · Technical part | $72.44 | $123.03 | $213.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $190.55 Median $223.87 Typical High $281.84 | Professional | None | $190.55 | $223.87 | $281.84 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $67.61 Typical High $81.28 | Professional | 26 · Professional part | $56.23 | $67.61 | $81.28 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $158.49 Typical High $199.53 | Professional | TC · Technical part | $134.90 | $158.49 | $199.53 |
Moda Health Setting Facility Modifier None Typical Low $158.49 Median $389.05 Typical High $660.69 | Facility | None | $158.49 | $389.05 | $660.69 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $128.82 Median $407.38 Typical High $794.33 | Facility | TC · Technical part | $128.82 | $407.38 | $794.33 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $112.20 Median $162.18 Typical High $478.63 | Professional | None (both parts) | $112.20 | $162.18 | $478.63 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $47.86 Typical High $120.23 | Professional | 26 · Professional part | $29.51 | $47.86 | $120.23 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $104.71 Typical High $204.17 | Professional | TC · Technical part | $85.11 | $104.71 | $204.17 |
Pacific Source Setting Facility Modifier None Typical Low $48.98 Median $120.23 Typical High $199.53 | Facility | None | $48.98 | $120.23 | $199.53 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $36.31 Median $51.29 Typical High $114.82 | Professional | None (both parts) | $36.31 | $51.29 | $114.82 |
Providence Setting Facility Modifier None Typical Low $165.96 Median $269.15 Typical High $398.11 | Facility | None | $165.96 | $269.15 | $398.11 |
Providence Setting Professional Modifier None (both parts) Typical Low $138.04 Median $194.98 Typical High $295.12 | Professional | None (both parts) | $138.04 | $194.98 | $295.12 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $60.26 Typical High $89.13 | Professional | 26 · Professional part | $43.65 | $60.26 | $89.13 |
Providence Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $138.04 Typical High $208.93 | Professional | TC · Technical part | $79.43 | $138.04 | $208.93 |
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 $186.21 Median $194.98 Typical High $275.42 | Professional | None (both parts) | $186.21 | $194.98 | $275.42 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $57.54 Typical High $83.18 | Professional | 26 · Professional part | $54.95 | $57.54 | $83.18 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $138.04 Typical High $194.98 | Professional | TC · Technical part | $131.83 | $138.04 | $194.98 |
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 $85.11 Median $120.23 Typical High $316.23 | Professional | None (both parts) | $85.11 | $120.23 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $35.48 Typical High $95.50 | Professional | 26 · Professional part | $31.62 | $35.48 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $85.11 Typical High $223.87 | Professional | TC · Technical part | $58.88 | $85.11 | $223.87 |
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 $46.77 Median $74.13 Typical High $74.13 | Professional | 52 · Reduced service | $46.77 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $29.51 Typical High $29.51 | Professional | 53 · Discontinued | $18.62 | $29.51 | $29.51 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $74.13 Typical High $74.13 | Professional | 52 · Reduced service | $47.86 | $74.13 | $74.13 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $29.51 Typical High $29.51 | Professional | 53 · Discontinued | $19.50 | $29.51 | $29.51 |
Where Oregon sits
The same service costs 4.2 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· 8th of 51
$182
AK $302UT $72.44
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.