How much rates vary
Facilitymedian $288 · 10th to 90th $79 to $501Professionalmedian $407 · 10th to 90th $269 to $631
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 $181.97 Median $269.15 Typical High $323.59 | Professional | None (both parts) | $181.97 | $269.15 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $58.88 Typical High $79.43 | Professional | 26 · Professional part | $39.81 | $58.88 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $208.93 Typical High $245.47 | Professional | TC · Technical part | $138.04 | $208.93 | $245.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $407.38 Typical High $660.69 | Professional | None (both parts) | $281.84 | $407.38 | $660.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $83.18 Typical High $141.25 | Professional | 26 · Professional part | $66.07 | $83.18 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $331.13 Typical High $512.86 | Professional | TC · Technical part | $218.78 | $331.13 | $512.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $489.78 Median $562.34 Typical High $707.95 | Professional | None | $489.78 | $562.34 | $707.95 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $107.15 Typical High $125.89 | Professional | 26 · Professional part | $91.20 | $107.15 | $125.89 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $457.09 Typical High $575.44 | Professional | TC · Technical part | $398.11 | $457.09 | $575.44 |
Moda Health Setting Facility Modifier None Typical Low $269.15 Median $512.86 Typical High $660.69 | Facility | None | $269.15 | $512.86 | $660.69 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $251.19 Median $371.54 Typical High $588.84 | Professional | None (both parts) | $251.19 | $371.54 | $588.84 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $70.79 Typical High $125.89 | Professional | 26 · Professional part | $57.54 | $70.79 | $125.89 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $229.09 Typical High $478.63 | Professional | TC · Technical part | $169.82 | $229.09 | $478.63 |
Pacific Source Setting Facility Modifier None Typical Low $75.86 Median $245.47 Typical High $389.05 | Facility | None | $75.86 | $245.47 | $389.05 |
Providence Setting Facility Modifier None Typical Low $331.13 Median $512.86 Typical High $660.69 | Facility | None | $331.13 | $512.86 | $660.69 |
Providence Setting Professional Modifier None (both parts) Typical Low $354.81 Median $446.68 Typical High $616.60 | Professional | None (both parts) | $354.81 | $446.68 | $616.60 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $102.33 Typical High $138.04 | Professional | 26 · Professional part | $67.61 | $102.33 | $138.04 |
Providence Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $346.74 Typical High $512.86 | Professional | TC · Technical part | $239.88 | $346.74 | $512.86 |
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 $354.81 Median $380.19 Typical High $562.34 | Professional | None (both parts) | $354.81 | $380.19 | $562.34 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $93.33 Typical High $128.82 | Professional | 26 · Professional part | $85.11 | $93.33 | $128.82 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $288.40 Typical High $426.58 | Professional | TC · Technical part | $269.15 | $288.40 | $426.58 |
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 $204.17 Median $389.05 Typical High $645.65 | Professional | None (both parts) | $204.17 | $389.05 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $93.33 Typical High $147.91 | Professional | 26 · Professional part | $47.86 | $93.33 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $302.00 Typical High $512.86 | Professional | TC · Technical part | $158.49 | $302.00 | $512.86 |
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 $83.18 Median $134.90 Typical High $134.90 | Professional | 52 · Reduced service | $83.18 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $53.70 Typical High $53.70 | Professional | 53 · Discontinued | $33.11 | $53.70 | $53.70 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $134.90 Typical High $134.90 | Professional | 52 · Reduced service | $77.62 | $134.90 | $134.90 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $53.70 Typical High $53.70 | Professional | 53 · Discontinued | $31.62 | $53.70 | $53.70 |
Where Oregon sits
The same service costs 3.0 times more in Alaska than in Florida. 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
$380
AK $513FL $174
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.