How much rates vary
Facilitymedian $35 · 10th to 90th $18 to $1,072Professionalmedian $178 · 10th to 90th $107 to $257
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 $109.65 Median $128.82 Typical High $128.82 | Professional | None (both parts) | $109.65 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $83.18 Typical High $83.18 | Professional | 26 · Professional part | $70.79 | $83.18 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $45.71 Typical High $45.71 | Professional | TC · Technical part | $38.02 | $45.71 | $45.71 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $109.65 Typical High $269.15 | Professional | None (both parts) | $107.15 | $109.65 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $70.79 Typical High $173.78 | Professional | 26 · Professional part | $67.61 | $70.79 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $39.81 Typical High $95.50 | Professional | TC · Technical part | $38.02 | $39.81 | $95.50 |
Kaiser Permanente Setting Professional Modifier None Typical Low $229.09 Median $269.15 Typical High $338.84 | Professional | None | $229.09 | $269.15 | $338.84 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $173.78 Typical High $213.80 | Professional | 26 · Professional part | $147.91 | $173.78 | $213.80 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $95.50 Typical High $120.23 | Professional | TC · Technical part | $79.43 | $95.50 | $120.23 |
Moda Health Setting Facility Modifier None Typical Low $128.82 Median $186.21 Typical High $186.21 | Facility | None | $128.82 | $186.21 | $186.21 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None (both parts) | $128.82 | $128.82 | $128.82 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 26 · Professional part | $83.18 | $83.18 | $83.18 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | TC · Technical part | $45.71 | $45.71 | $45.71 |
Pacific Source Setting Facility Modifier None Typical Low $16.98 Median $35.48 Typical High $57.54 | Facility | None | $16.98 | $35.48 | $57.54 |
Providence Setting Facility Modifier None Typical Low $141.25 Median $204.17 Typical High $1,659,586.91 | Facility | None | $141.25 | $204.17 | $1,659,586.91 |
Providence Setting Professional Modifier None (both parts) Typical Low $79.43 Median $109.65 Typical High $275.42 | Professional | None (both parts) | $79.43 | $109.65 | $275.42 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $97.72 Typical High $194.98 | Professional | 26 · Professional part | $67.61 | $97.72 | $194.98 |
Providence Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $54.95 Typical High $104.71 | Professional | TC · Technical part | $38.02 | $54.95 | $104.71 |
Regence BlueShield Setting Facility Modifier None Typical Low $812.83 Median $1,047.13 Typical High $1,202.26 | Facility | None | $812.83 | $1,047.13 | $1,202.26 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $190.55 Median $194.98 Typical High $208.93 | Professional | None (both parts) | $190.55 | $194.98 | $208.93 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $128.82 Typical High $134.90 | Professional | 26 · Professional part | $123.03 | $128.82 | $134.90 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $69.18 Typical High $72.44 | Professional | TC · Technical part | $66.07 | $69.18 | $72.44 |
United Setting Facility Modifier None Typical Low $977.24 Median $4,897.79 Typical High $6,165.95 | Facility | None | $977.24 | $4,897.79 | $6,165.95 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $181.97 Typical High $316.23 | Professional | None (both parts) | $131.83 | $181.97 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $112.20 Typical High $194.98 | Professional | 26 · Professional part | $77.62 | $112.20 | $194.98 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $70.79 Typical High $123.03 | Professional | TC · Technical part | $51.29 | $70.79 | $123.03 |
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 55 · Aftercare only Typical Low $16.22 Median $19.50 Typical High $19.50 | Professional | 55 · Aftercare only | $16.22 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $12.88 Typical High $12.88 | Professional | 56 · Pre-op care only | $10.96 | $12.88 | $12.88 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | 55 · Aftercare only | $19.50 | $19.50 | $19.50 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | 56 · Pre-op care only | $12.88 | $12.88 | $12.88 |
Where Oregon sits
The same service costs 4.4 times more in Minnesota than in Alabama. 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· 9th of 51
$162
MN $275AL $63.10
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.