How much rates vary
Facilitymedian $158 · 10th to 90th $54 to $257Professionalmedian $209 · 10th to 90th $71 to $380
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 Professional Modifier None (both parts) Typical Low $60.26 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $60.26 | $120.23 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $251.19 Typical High $295.12 | Facility | None | $154.88 | $251.19 | $295.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $117.49 Typical High $245.47 | Professional | None (both parts) | $48.98 | $117.49 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $28.18 Typical High $61.66 | Professional | 26 · Professional part | $16.98 | $28.18 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $89.13 Typical High $186.21 | Professional | TC · Technical part | $34.67 | $89.13 | $186.21 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $257.04 Typical High $407.38 | Professional | None | $128.82 | $257.04 | $407.38 |
Moda Health Setting Facility Modifier None Typical Low $173.78 Median $295.12 Typical High $446.68 | Facility | None | $173.78 | $295.12 | $446.68 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $60.26 Median $120.23 Typical High $316.23 | Professional | None (both parts) | $60.26 | $120.23 | $316.23 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $33.11 Typical High $112.20 | Professional | 26 · Professional part | $28.18 | $33.11 | $112.20 |
Pacific Source Setting Facility Modifier None Typical Low $53.70 Median $154.88 Typical High $257.04 | Facility | None | $53.70 | $154.88 | $257.04 |
Providence Setting Facility Modifier None Typical Low $158.49 Median $263.03 Typical High $562.34 | Facility | None | $158.49 | $263.03 | $562.34 |
Providence Setting Professional Modifier None (both parts) Typical Low $117.49 Median $229.09 Typical High $380.19 | Professional | None (both parts) | $117.49 | $229.09 | $380.19 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $42.66 Typical High $95.50 | Professional | 26 · Professional part | $28.18 | $42.66 | $95.50 |
Providence Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $91.20 Typical High $281.84 | Professional | TC · Technical part | $43.65 | $91.20 | $281.84 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $229.09 Median $239.88 Typical High $380.19 | Professional | None (both parts) | $229.09 | $239.88 | $380.19 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $63.10 Typical High $97.72 | Professional | 26 · Professional part | $57.54 | $63.10 | $97.72 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $177.83 Typical High $288.40 | Professional | TC · Technical part | $162.18 | $177.83 | $288.40 |
United Setting Professional Modifier None (both parts) Typical Low $69.18 Median $173.78 Typical High $446.68 | Professional | None (both parts) | $69.18 | $173.78 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $51.29 Typical High $114.82 | Professional | 26 · Professional part | $19.05 | $51.29 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $123.03 Typical High $338.84 | Professional | TC · Technical part | $50.12 | $123.03 | $338.84 |
1 more rate 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 Facility Modifier 53 · Discontinued Typical Low $45.71 Median $64.57 Typical High $81.28 | Facility | 53 · Discontinued | $45.71 | $64.57 | $81.28 |
Where Oregon sits
The same service costs 4.6 times more in Alaska than in Alabama. 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· 11th of 51
$174
AK $269AL $58.88
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.