How much rates vary
Facilitymedian $245 · 10th to 90th $162 to $977Professionalmedian $617 · 10th to 90th $363 to $2,399
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 $602.56 Median $691.83 Typical High $831.76 | Professional | None (both parts) | $602.56 | $691.83 | $831.76 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $165.96 Typical High $199.53 | Professional | 26 · Professional part | $134.90 | $165.96 | $199.53 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $562.34 Median $645.65 Typical High $758.58 | Professional | TC · Technical part | $562.34 | $645.65 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $416.87 Typical High $691.83 | Professional | None (both parts) | $331.13 | $416.87 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $199.53 Typical High $338.84 | Professional | 26 · Professional part | $165.96 | $199.53 | $338.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $213.80 Typical High $354.81 | Professional | TC · Technical part | $165.96 | $213.80 | $354.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $478.63 Median $562.34 Typical High $691.83 | Professional | None | $478.63 | $562.34 | $691.83 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $281.84 Typical High $338.84 | Professional | 26 · Professional part | $234.42 | $281.84 | $338.84 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $281.84 Typical High $354.81 | Professional | TC · Technical part | $239.88 | $281.84 | $354.81 |
Moda Health Setting Facility Modifier None Typical Low $309.03 Median $630.96 Typical High $977.24 | Facility | None | $309.03 | $630.96 | $977.24 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $501.19 Median $691.83 Typical High $831.76 | Professional | None (both parts) | $501.19 | $691.83 | $831.76 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $169.82 Typical High $389.05 | Professional | 26 · Professional part | $134.90 | $169.82 | $389.05 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $562.34 Median $645.65 Typical High $758.58 | Professional | TC · Technical part | $562.34 | $645.65 | $758.58 |
Pacific Source Setting Facility Modifier None Typical Low $147.91 Median $245.47 Typical High $302.00 | Facility | None | $147.91 | $245.47 | $302.00 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $263.03 | Professional | None (both parts) | $194.98 | $194.98 | $263.03 |
Providence Setting Facility Modifier None Typical Low $309.03 Median $630.96 Typical High $1,659,586.91 | Facility | None | $309.03 | $630.96 | $1,659,586.91 |
Providence Setting Professional Modifier None (both parts) Typical Low $354.81 Median $602.56 Typical High $2,238,721.14 | Professional | None (both parts) | $354.81 | $602.56 | $2,238,721.14 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $234.42 Typical High $338.84 | Professional | 26 · Professional part | $177.83 | $234.42 | $338.84 |
Providence Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $213.80 Typical High $363.08 | Professional | TC · Technical part | $186.21 | $213.80 | $363.08 |
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 $467.74 Median $489.78 Typical High $676.08 | Professional | None (both parts) | $467.74 | $489.78 | $676.08 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $245.47 Typical High $338.84 | Professional | 26 · Professional part | $234.42 | $245.47 | $338.84 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $245.47 Typical High $338.84 | Professional | TC · Technical part | $234.42 | $245.47 | $338.84 |
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 $616.60 Median $1,071.52 Typical High $1,949.84 | Professional | None (both parts) | $616.60 | $1,071.52 | $1,949.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $239.88 Typical High $389.05 | Professional | 26 · Professional part | $131.83 | $239.88 | $389.05 |
United Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $831.76 Typical High $1,621.81 | Professional | TC · Technical part | $398.11 | $831.76 | $1,621.81 |
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 $275.42 Median $346.74 Typical High $346.74 | Professional | 52 · Reduced service | $275.42 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $138.04 Typical High $138.04 | Professional | 53 · Discontinued | $109.65 | $138.04 | $138.04 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $302.00 Median $346.74 Typical High $346.74 | Professional | 52 · Reduced service | $302.00 | $346.74 | $346.74 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $138.04 Typical High $138.04 | Professional | 53 · Discontinued | $123.03 | $138.04 | $138.04 |
Where Oregon sits
The same service costs 3.1 times more in Alaska than in Washington. 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· 26th of 51
$501
AK $1,000WA $324
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.