How much rates vary
Facilitymedian $191 · 10th to 90th $60 to $407Professionalmedian $240 · 10th to 90th $138 to $347
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 $181.97 Typical High $181.97 | Professional | None (both parts) | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $48.98 Typical High $48.98 | Professional | 26 · Professional part | $41.69 | $48.98 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | TC · Technical part | $131.83 | $131.83 | $131.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $173.78 Typical High $354.81 | Professional | None (both parts) | $134.90 | $173.78 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $40.74 Typical High $93.33 | Professional | 26 · Professional part | $36.31 | $40.74 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $128.82 Typical High $251.19 | Professional | TC · Technical part | $97.72 | $128.82 | $251.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $263.03 Median $309.03 Typical High $389.05 | Professional | None | $263.03 | $309.03 | $389.05 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $85.11 Typical High $102.33 | Professional | 26 · Professional part | $70.79 | $85.11 | $102.33 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $229.09 Typical High $288.40 | Professional | TC · Technical part | $190.55 | $229.09 | $288.40 |
Moda Health Setting Facility Modifier None Typical Low $181.97 Median $398.11 Typical High $436.52 | Facility | None | $181.97 | $398.11 | $436.52 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $151.36 Median $181.97 Typical High $331.13 | Professional | None (both parts) | $151.36 | $181.97 | $331.13 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $48.98 Typical High $77.62 | Professional | 26 · Professional part | $41.69 | $48.98 | $77.62 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $131.83 Typical High $245.47 | Professional | TC · Technical part | $109.65 | $131.83 | $245.47 |
Pacific Source Setting Facility Modifier None Typical Low $60.26 Median $177.83 Typical High $302.00 | Facility | None | $60.26 | $177.83 | $302.00 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $154.88 | Professional | None (both parts) | $67.61 | $67.61 | $154.88 |
Providence Setting Facility Modifier None Typical Low $186.21 Median $398.11 Typical High $457.09 | Facility | None | $186.21 | $398.11 | $457.09 |
Providence Setting Professional Modifier None (both parts) Typical Low $138.04 Median $234.42 Typical High $363.08 | Professional | None (both parts) | $138.04 | $234.42 | $363.08 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $52.48 Typical High $95.50 | Professional | 26 · Professional part | $36.31 | $52.48 | $95.50 |
Providence Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $158.49 Typical High $263.03 | Professional | TC · Technical part | $102.33 | $158.49 | $263.03 |
Regence BlueShield Setting Facility Modifier None Typical Low $407.38 Median $549.54 Typical High $630.96 | Facility | None | $407.38 | $549.54 | $630.96 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $229.09 Median $239.88 Typical High $251.19 | Professional | None (both parts) | $229.09 | $239.88 | $251.19 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $69.18 Typical High $72.44 | Professional | 26 · Professional part | $67.61 | $69.18 | $72.44 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $169.82 Typical High $177.83 | Professional | TC · Technical part | $162.18 | $169.82 | $177.83 |
United Setting Facility Modifier None Typical Low $407.38 Median $512.86 Typical High $630.96 | Facility | None | $407.38 | $512.86 | $630.96 |
United Setting Professional Modifier None (both parts) Typical Low $204.17 Median $288.40 Typical High $407.38 | Professional | None (both parts) | $204.17 | $288.40 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $74.13 Typical High $117.49 | Professional | 26 · Professional part | $53.70 | $74.13 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $213.80 Typical High $302.00 | Professional | TC · Technical part | $147.91 | $213.80 | $302.00 |
8 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 $91.20 Median $91.20 Typical High $91.20 | Professional | 52 · Reduced service | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | 53 · Discontinued | $36.31 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | 55 · Aftercare only | $27.54 | $27.54 | $27.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | 56 · Pre-op care only | $18.20 | $18.20 | $18.20 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 52 · Reduced service | $91.20 | $91.20 | $91.20 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | 53 · Discontinued | $36.31 | $36.31 | $36.31 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | 55 · Aftercare only | $27.54 | $27.54 | $27.54 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | 56 · Pre-op care only | $18.20 | $18.20 | $18.20 |
Where Oregon sits
The same service costs 3.2 times more in Kansas 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· 16th of 51
$240
KS $324UT $100
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.