How much rates vary
Facilitymedian $138 · 10th to 90th $68 to $309Professionalmedian $240 · 10th to 90th $141 to $447
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 $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $154.88 Typical High $288.40 | Professional | None (both parts) | $125.89 | $154.88 | $288.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $53.70 Typical High $70.79 | Professional | 26 · Professional part | $42.66 | $53.70 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $100.00 Typical High $213.80 | Professional | TC · Technical part | $85.11 | $100.00 | $213.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $275.42 Typical High $501.19 | Professional | None (both parts) | $151.36 | $275.42 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $74.13 Typical High $125.89 | Professional | 26 · Professional part | $53.70 | $74.13 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $204.17 Typical High $354.81 | Professional | TC · Technical part | $91.20 | $204.17 | $354.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $323.59 Median $371.54 Typical High $467.74 | Professional | None | $323.59 | $371.54 | $467.74 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $95.50 Typical High $114.82 | Professional | 26 · Professional part | $81.28 | $95.50 | $114.82 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $275.42 Typical High $354.81 | Professional | TC · Technical part | $239.88 | $275.42 | $354.81 |
Moda Health Setting Facility Modifier None Typical Low $190.55 Median $218.78 Typical High $371.54 | Facility | None | $190.55 | $218.78 | $371.54 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $138.04 Median $181.97 Typical High $363.08 | Professional | None (both parts) | $138.04 | $181.97 | $363.08 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $57.54 Typical High $123.03 | Professional | 26 · Professional part | $43.65 | $57.54 | $123.03 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $114.82 Typical High $275.42 | Professional | TC · Technical part | $91.20 | $114.82 | $275.42 |
Pacific Source Setting Facility Modifier None Typical Low $67.61 Median $117.49 Typical High $257.04 | Facility | None | $67.61 | $117.49 | $257.04 |
Providence Setting Facility Modifier None Typical Low $208.93 Median $281.84 Typical High $371.54 | Facility | None | $208.93 | $281.84 | $371.54 |
Providence Setting Professional Modifier None (both parts) Typical Low $177.83 Median $275.42 Typical High $467.74 | Professional | None (both parts) | $177.83 | $275.42 | $467.74 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $85.11 Typical High $120.23 | Professional | 26 · Professional part | $60.26 | $85.11 | $120.23 |
Providence Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $199.53 Typical High $354.81 | Professional | TC · Technical part | $91.20 | $199.53 | $354.81 |
Regence BlueShield Setting Facility Modifier None Typical Low $758.58 Median $1,071.52 Typical High $1,230.27 | Facility | None | $758.58 | $1,071.52 | $1,230.27 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $204.17 Median $323.59 Typical High $436.52 | Professional | None (both parts) | $204.17 | $323.59 | $436.52 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $83.18 Typical High $114.82 | Professional | 26 · Professional part | $75.86 | $83.18 | $114.82 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $245.47 Typical High $323.59 | Professional | TC · Technical part | $125.89 | $245.47 | $323.59 |
United Setting Facility Modifier None Typical Low $691.83 Median $851.14 Typical High $1,071.52 | Facility | None | $691.83 | $851.14 | $1,071.52 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $204.17 Typical High $436.52 | Professional | None (both parts) | $104.71 | $204.17 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $81.28 Typical High $125.89 | Professional | 26 · Professional part | $43.65 | $81.28 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $117.49 Typical High $323.59 | Professional | TC · Technical part | $61.66 | $117.49 | $323.59 |
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 $53.70 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $53.70 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $30.90 Typical High $30.90 | Professional | 53 · Discontinued | $21.38 | $30.90 | $30.90 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $52.48 | $77.62 | $77.62 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $30.90 Typical High $30.90 | Professional | 53 · Discontinued | $20.89 | $30.90 | $30.90 |
Where Oregon sits
The same service costs 3.2 times more in Alaska than in New York. 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
$214
AK $347NY $107
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.