How much rates vary
Facilitymedian $200 · 10th to 90th $63 to $339Professionalmedian $251 · 10th to 90th $145 to $398
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 $162.18 Median $275.42 Typical High $295.12 | Facility | None | $162.18 | $275.42 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $162.18 Typical High $223.87 | Professional | None (both parts) | $89.13 | $162.18 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $48.98 Typical High $54.95 | Professional | 26 · Professional part | $31.62 | $48.98 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $112.20 Typical High $154.88 | Professional | TC · Technical part | $57.54 | $112.20 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $269.15 Typical High $331.13 | Facility | None | $190.55 | $269.15 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $234.42 Typical High $398.11 | Professional | None (both parts) | $154.88 | $234.42 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $58.88 Typical High $102.33 | Professional | 26 · Professional part | $40.74 | $58.88 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $177.83 Typical High $302.00 | Professional | TC · Technical part | $117.49 | $177.83 | $302.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $257.04 Median $302.00 Typical High $380.19 | Professional | None | $257.04 | $302.00 | $380.19 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $77.62 Typical High $93.33 | Professional | 26 · Professional part | $64.57 | $77.62 | $93.33 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $223.87 Typical High $281.84 | Professional | TC · Technical part | $190.55 | $223.87 | $281.84 |
Moda Health Setting Facility Modifier None Typical Low $223.87 Median $363.08 Typical High $467.74 | Facility | None | $223.87 | $363.08 | $467.74 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $107.15 Median $199.53 Typical High $398.11 | Professional | None (both parts) | $107.15 | $199.53 | $398.11 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $54.95 Typical High $112.20 | Professional | 26 · Professional part | $34.67 | $54.95 | $112.20 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $112.20 Typical High $245.47 | Professional | TC · Technical part | $70.79 | $112.20 | $245.47 |
Pacific Source Setting Facility Modifier None Typical Low $57.54 Median $177.83 Typical High $275.42 | Facility | None | $57.54 | $177.83 | $275.42 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $165.96 | Professional | None (both parts) | $60.26 | $60.26 | $165.96 |
Providence Setting Facility Modifier None Typical Low $194.98 Median $331.13 Typical High $501.19 | Facility | None | $194.98 | $331.13 | $501.19 |
Providence Setting Professional Modifier None (both parts) Typical Low $204.17 Median $269.15 Typical High $398.11 | Professional | None (both parts) | $204.17 | $269.15 | $398.11 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $69.18 Typical High $102.33 | Professional | 26 · Professional part | $50.12 | $69.18 | $102.33 |
Providence Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $194.98 Typical High $295.12 | Professional | TC · Technical part | $147.91 | $194.98 | $295.12 |
Regence BlueShield Setting Facility Modifier None Typical Low $208.93 Median $309.03 Typical High $371.54 | Facility | None | $208.93 | $309.03 | $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 $64.57 Median $67.61 Typical High $97.72 | Professional | 26 · Professional part | $64.57 | $67.61 | $97.72 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $199.53 Typical High $275.42 | Professional | TC · Technical part | $186.21 | $199.53 | $275.42 |
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 $144.54 Median $162.18 Typical High $426.58 | Professional | None (both parts) | $144.54 | $162.18 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $41.69 Typical High $112.20 | Professional | 26 · Professional part | $37.15 | $41.69 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $117.49 Typical High $316.23 | Professional | TC · Technical part | $107.15 | $117.49 | $316.23 |
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 $48.98 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $48.98 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $19.95 | $32.36 | $32.36 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $57.54 | $81.28 | $81.28 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $22.91 | $32.36 | $32.36 |
Where Oregon sits
The same service costs 3.7 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· 7th of 51
$245
AK $363TX $97.72
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.