How much rates vary
Facilitymedian $275 · 10th to 90th $93 to $417Professionalmedian $363 · 10th to 90th $200 to $513
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 $263.03 Typical High $263.03 | Professional | None (both parts) | $263.03 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | 26 · Professional part | $186.21 | $186.21 | $186.21 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | TC · Technical part | $72.44 | $72.44 | $72.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $223.87 Typical High $501.19 | Professional | None (both parts) | $190.55 | $223.87 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $162.18 Typical High $363.08 | Professional | 26 · Professional part | $138.04 | $162.18 | $363.08 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $60.26 Typical High $141.25 | Professional | TC · Technical part | $53.70 | $60.26 | $141.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $354.81 Median $426.58 Typical High $524.81 | Professional | None | $354.81 | $426.58 | $524.81 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $316.23 Typical High $380.19 | Professional | 26 · Professional part | $257.04 | $316.23 | $380.19 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $117.49 Typical High $147.91 | Professional | TC · Technical part | $97.72 | $117.49 | $147.91 |
Moda Health Setting Facility Modifier None Typical Low $263.03 Median $371.54 Typical High $524.81 | Facility | None | $263.03 | $371.54 | $524.81 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $213.80 Median $263.03 Typical High $426.58 | Professional | None (both parts) | $213.80 | $263.03 | $426.58 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $186.21 Typical High $309.03 | Professional | 26 · Professional part | $154.88 | $186.21 | $309.03 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | TC · Technical part | $72.44 | $72.44 | $72.44 |
Pacific Source Setting Facility Modifier None Typical Low $91.20 Median $257.04 Typical High $380.19 | Facility | None | $91.20 | $257.04 | $380.19 |
Providence Setting Facility Modifier None Typical Low $251.19 Median $354.81 Typical High $524.81 | Facility | None | $251.19 | $354.81 | $524.81 |
Providence Setting Professional Modifier None (both parts) Typical Low $199.53 Median $323.59 Typical High $537.03 | Professional | None (both parts) | $199.53 | $323.59 | $537.03 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $199.53 Typical High $380.19 | Professional | 26 · Professional part | $138.04 | $199.53 | $380.19 |
Providence Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $77.62 Typical High $147.91 | Professional | TC · Technical part | $53.70 | $77.62 | $147.91 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $346.74 Median $363.08 Typical High $380.19 | Professional | None (both parts) | $346.74 | $363.08 | $380.19 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $263.03 Typical High $281.84 | Professional | 26 · Professional part | $257.04 | $263.03 | $281.84 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $97.72 Typical High $102.33 | Professional | TC · Technical part | $93.33 | $97.72 | $102.33 |
United Setting Facility Modifier None Typical Low $4,365.16 Median $10,471.29 Typical High $14,125.38 | Facility | None | $4,365.16 | $10,471.29 | $14,125.38 |
United Setting Professional Modifier None (both parts) Typical Low $288.40 Median $416.87 Typical High $616.60 | Professional | None (both parts) | $288.40 | $416.87 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $302.00 Typical High $446.68 | Professional | 26 · Professional part | $213.80 | $302.00 | $446.68 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $112.20 Typical High $177.83 | Professional | TC · Technical part | $75.86 | $112.20 | $177.83 |
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 $131.83 Median $131.83 Typical High $131.83 | Professional | 52 · Reduced service | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 53 · Discontinued | $52.48 | $52.48 | $52.48 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | 52 · Reduced service | $131.83 | $131.83 | $131.83 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 53 · Discontinued | $52.48 | $52.48 | $52.48 |
Where Oregon sits
The same service costs 3.5 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· 13th of 51
$347
AK $468UT $132
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.