How much rates vary
Facilitymedian $214 · 10th to 90th $59 to $347Professionalmedian $288 · 10th to 90th $174 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 $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $218.78 Typical High $269.15 | Professional | None (both parts) | $138.04 | $218.78 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $46.77 Typical High $56.23 | Professional | 26 · Professional part | $35.48 | $46.77 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $173.78 Typical High $213.80 | Professional | TC · Technical part | $102.33 | $173.78 | $213.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $263.03 Typical High $457.09 | Professional | None (both parts) | $190.55 | $263.03 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $57.54 Typical High $97.72 | Professional | 26 · Professional part | $46.77 | $57.54 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $204.17 Typical High $354.81 | Professional | TC · Technical part | $147.91 | $204.17 | $354.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $295.12 Median $354.81 Typical High $436.52 | Professional | None | $295.12 | $354.81 | $436.52 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $79.43 Typical High $95.50 | Professional | 26 · Professional part | $66.07 | $79.43 | $95.50 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $275.42 Typical High $346.74 | Professional | TC · Technical part | $234.42 | $275.42 | $346.74 |
Moda Health Setting Facility Modifier None Typical Low $245.47 Median $346.74 Typical High $1,513.56 | Facility | None | $245.47 | $346.74 | $1,513.56 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $147.91 Median $234.42 Typical High $478.63 | Professional | None (both parts) | $147.91 | $234.42 | $478.63 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $56.23 Typical High $151.36 | Professional | 26 · Professional part | $37.15 | $56.23 | $151.36 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $173.78 Typical High $295.12 | Professional | TC · Technical part | $104.71 | $173.78 | $295.12 |
Pacific Source Setting Facility Modifier None Typical Low $57.54 Median $181.97 Typical High $302.00 | Facility | None | $57.54 | $181.97 | $302.00 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $323.59 | Professional | None (both parts) | $97.72 | $97.72 | $323.59 |
Providence Setting Facility Modifier None Typical Low $208.93 Median $302.00 Typical High $398.11 | Facility | None | $208.93 | $302.00 | $398.11 |
Providence Setting Professional Modifier None (both parts) Typical Low $229.09 Median $302.00 Typical High $457.09 | Professional | None (both parts) | $229.09 | $302.00 | $457.09 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $66.07 Typical High $102.33 | Professional | 26 · Professional part | $50.12 | $66.07 | $102.33 |
Providence Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $213.80 Typical High $354.81 | Professional | TC · Technical part | $158.49 | $213.80 | $354.81 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,445.44 Median $1,905.46 Typical High $2,187.76 | Facility | None | $1,445.44 | $1,905.46 | $2,187.76 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $295.12 Median $309.03 Typical High $416.87 | Professional | None (both parts) | $295.12 | $309.03 | $416.87 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $70.79 Typical High $95.50 | Professional | 26 · Professional part | $66.07 | $70.79 | $95.50 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $239.88 Typical High $323.59 | Professional | TC · Technical part | $229.09 | $239.88 | $323.59 |
United Setting Facility Modifier None Typical Low $1,737.80 Median $2,187.76 Typical High $2,691.53 | Facility | None | $1,737.80 | $2,187.76 | $2,691.53 |
United Setting Professional Modifier None (both parts) Typical Low $162.18 Median $281.84 Typical High $478.63 | Professional | None (both parts) | $162.18 | $281.84 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $66.07 Typical High $109.65 | Professional | 26 · Professional part | $37.15 | $66.07 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $218.78 Typical High $363.08 | Professional | TC · Technical part | $125.89 | $218.78 | $363.08 |
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 $75.86 Median $109.65 Typical High $109.65 | Professional | 52 · Reduced service | $75.86 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $43.65 Typical High $43.65 | Professional | 53 · Discontinued | $30.20 | $43.65 | $43.65 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $109.65 Typical High $109.65 | Professional | 52 · Reduced service | $83.18 | $109.65 | $109.65 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $43.65 Typical High $43.65 | Professional | 53 · Discontinued | $33.11 | $43.65 | $43.65 |
Where Oregon sits
The same service costs 3.0 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· 10th of 51
$269
AK $380UT $129
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.