How much rates vary
Facilitymedian $269 · 10th to 90th $120 to $479Professionalmedian $427 · 10th to 90th $309 to $661
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 $263.03 Median $316.23 Typical High $416.87 | Professional | None (both parts) | $263.03 | $316.23 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $114.82 Typical High $141.25 | Professional | 26 · Professional part | $60.26 | $114.82 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $204.17 Typical High $302.00 | Professional | TC · Technical part | $162.18 | $204.17 | $302.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $389.05 Typical High $691.83 | Professional | None (both parts) | $302.00 | $389.05 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $141.25 Typical High $245.47 | Professional | 26 · Professional part | $104.71 | $141.25 | $245.47 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $239.88 Typical High $446.68 | Professional | TC · Technical part | $194.98 | $239.88 | $446.68 |
Kaiser Permanente Setting Professional Modifier None Typical Low $446.68 Median $524.81 Typical High $660.69 | Professional | None | $446.68 | $524.81 | $660.69 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $199.53 Typical High $239.88 | Professional | 26 · Professional part | $165.96 | $199.53 | $239.88 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $331.13 Typical High $416.87 | Professional | TC · Technical part | $281.84 | $331.13 | $416.87 |
Moda Health Setting Facility Modifier None Typical Low $316.23 Median $575.44 Typical High $741.31 | Facility | None | $316.23 | $575.44 | $741.31 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $281.84 Median $380.19 Typical High $549.54 | Professional | None (both parts) | $281.84 | $380.19 | $549.54 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $114.82 Typical High $257.04 | Professional | 26 · Professional part | $60.26 | $114.82 | $257.04 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $245.47 Typical High $354.81 | Professional | TC · Technical part | $169.82 | $245.47 | $354.81 |
Pacific Source Setting Facility Modifier None Typical Low $120.23 Median $269.15 Typical High $457.09 | Facility | None | $120.23 | $269.15 | $457.09 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $102.33 Median $245.47 Typical High $398.11 | Professional | None (both parts) | $102.33 | $245.47 | $398.11 |
Providence Setting Facility Modifier None Typical Low $309.03 Median $575.44 Typical High $741.31 | Facility | None | $309.03 | $575.44 | $741.31 |
Providence Setting Professional Modifier None (both parts) Typical Low $331.13 Median $478.63 Typical High $660.69 | Professional | None (both parts) | $331.13 | $478.63 | $660.69 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $151.36 Typical High $257.04 | Professional | 26 · Professional part | $107.15 | $151.36 | $257.04 |
Providence Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $302.00 Typical High $446.68 | Professional | TC · Technical part | $208.93 | $302.00 | $446.68 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $426.58 Median $457.09 Typical High $616.60 | Professional | None (both parts) | $426.58 | $457.09 | $616.60 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $173.78 Typical High $239.88 | Professional | 26 · Professional part | $165.96 | $173.78 | $239.88 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $281.84 Typical High $389.05 | Professional | TC · Technical part | $263.03 | $281.84 | $389.05 |
United Setting Professional Modifier None (both parts) Typical Low $239.88 Median $436.52 Typical High $707.95 | Professional | None (both parts) | $239.88 | $436.52 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $162.18 Typical High $275.42 | Professional | 26 · Professional part | $91.20 | $162.18 | $275.42 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $275.42 Typical High $446.68 | Professional | TC · Technical part | $147.91 | $275.42 | $446.68 |
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 $120.23 Median $158.49 Typical High $158.49 | Professional | 52 · Reduced service | $120.23 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $63.10 Typical High $63.10 | Professional | 53 · Discontinued | $47.86 | $63.10 | $63.10 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $134.90 Median $158.49 Typical High $158.49 | Professional | 52 · Reduced service | $134.90 | $158.49 | $158.49 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $63.10 Typical High $63.10 | Professional | 53 · Discontinued | $53.70 | $63.10 | $63.10 |
Where Oregon sits
The same service costs 4.7 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
$417
AK $589UT $126
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.