How much rates vary
Facilitymedian $141 · 10th to 90th $55 to $269Professionalmedian $186 · 10th to 90th $107 to $288
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 $181.97 Median $181.97 Typical High $245.47 | Facility | None | $181.97 | $181.97 | $245.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $83.18 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $40.74 Typical High $42.66 | Professional | 26 · Professional part | $26.92 | $40.74 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $107.15 Typical High $120.23 | Professional | TC · Technical part | $56.23 | $107.15 | $120.23 |
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 $114.82 Median $173.78 Typical High $295.12 | Professional | None (both parts) | $114.82 | $173.78 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $48.98 Typical High $85.11 | Professional | 26 · Professional part | $34.67 | $48.98 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $125.89 Typical High $213.80 | Professional | TC · Technical part | $87.10 | $125.89 | $213.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $186.21 Median $223.87 Typical High $275.42 | Professional | None | $186.21 | $223.87 | $275.42 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $66.07 Typical High $77.62 | Professional | 26 · Professional part | $54.95 | $66.07 | $77.62 |
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 $151.36 Median $229.09 Typical High $316.23 | Facility | None | $151.36 | $229.09 | $316.23 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $102.33 Median $147.91 Typical High $245.47 | Professional | None (both parts) | $102.33 | $147.91 | $245.47 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $40.74 Typical High $77.62 | Professional | 26 · Professional part | $28.84 | $40.74 | $77.62 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $107.15 Typical High $181.97 | Professional | TC · Technical part | $66.07 | $107.15 | $181.97 |
Pacific Source Setting Facility Modifier None Typical Low $48.98 Median $125.89 Typical High $199.53 | Facility | None | $48.98 | $125.89 | $199.53 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $50.12 Median $63.10 Typical High $151.36 | Professional | None (both parts) | $50.12 | $63.10 | $151.36 |
Providence Setting Facility Modifier None Typical Low $194.98 Median $269.15 Typical High $371.54 | Facility | None | $194.98 | $269.15 | $371.54 |
Providence Setting Professional Modifier None (both parts) Typical Low $151.36 Median $199.53 Typical High $295.12 | Professional | None (both parts) | $151.36 | $199.53 | $295.12 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $57.54 Typical High $85.11 | Professional | 26 · Professional part | $42.66 | $57.54 | $85.11 |
Providence Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $141.25 Typical High $208.93 | Professional | TC · Technical part | $104.71 | $141.25 | $208.93 |
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 $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 $53.70 Median $56.23 Typical High $81.28 | Professional | 26 · Professional part | $53.70 | $56.23 | $81.28 |
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 $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 $107.15 Median $120.23 Typical High $316.23 | Professional | None (both parts) | $107.15 | $120.23 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $34.67 Typical High $93.33 | Professional | 26 · Professional part | $30.90 | $34.67 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $85.11 Typical High $218.78 | Professional | TC · Technical part | $75.86 | $85.11 | $218.78 |
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 $45.71 Median $74.13 Typical High $74.13 | Professional | 52 · Reduced service | $45.71 | $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 $46.77 Median $74.13 Typical High $74.13 | Professional | 52 · Reduced service | $46.77 | $74.13 | $74.13 |
Moda Health 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 |
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· 9th of 51
$178
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.