How much rates vary
Facilitymedian $251 · 10th to 90th $45 to $372Professionalmedian $302 · 10th to 90th $174 to $468
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 $102.33 Median $173.78 Typical High $302.00 | Professional | None (both parts) | $102.33 | $173.78 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $31.62 Typical High $52.48 | Professional | 26 · Professional part | $28.84 | $31.62 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $141.25 Typical High $223.87 | Professional | TC · Technical part | $69.18 | $141.25 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $346.74 Typical High $398.11 | Facility | None | $229.09 | $346.74 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $281.84 Typical High $489.78 | Professional | None (both parts) | $204.17 | $281.84 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $57.54 Typical High $79.43 | Professional | 26 · Professional part | $36.31 | $57.54 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $223.87 Typical High $416.87 | Professional | TC · Technical part | $165.96 | $223.87 | $416.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $331.13 Median $389.05 Typical High $489.78 | Professional | None | $331.13 | $389.05 | $489.78 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $83.18 Typical High $97.72 | Professional | 26 · Professional part | $69.18 | $83.18 | $97.72 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $309.03 Typical High $389.05 | Professional | TC · Technical part | $263.03 | $309.03 | $389.05 |
Moda Health Setting Facility Modifier None Typical Low $173.78 Median $371.54 Typical High $575.44 | Facility | None | $173.78 | $371.54 | $575.44 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $104.71 Median $245.47 Typical High $407.38 | Professional | None (both parts) | $104.71 | $245.47 | $407.38 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $36.31 Typical High $89.13 | Professional | 26 · Professional part | $31.62 | $36.31 | $89.13 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $141.25 Typical High $331.13 | Professional | TC · Technical part | $72.44 | $141.25 | $331.13 |
Pacific Source Setting Facility Modifier None Typical Low $39.81 Median $208.93 Typical High $316.23 | Facility | None | $39.81 | $208.93 | $316.23 |
Providence Setting Facility Modifier None Typical Low $173.78 Median $346.74 Typical High $575.44 | Facility | None | $173.78 | $346.74 | $575.44 |
Providence Setting Professional Modifier None (both parts) Typical Low $245.47 Median $331.13 Typical High $467.74 | Professional | None (both parts) | $245.47 | $331.13 | $467.74 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $57.54 Typical High $81.28 | Professional | 26 · Professional part | $40.74 | $57.54 | $81.28 |
Providence Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $263.03 Typical High $398.11 | Professional | TC · Technical part | $194.98 | $263.03 | $398.11 |
Regence BlueShield Setting Facility Modifier None Typical Low $316.23 Median $389.05 Typical High $501.19 | Facility | None | $316.23 | $389.05 | $501.19 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $302.00 Median $323.59 Typical High $446.68 | Professional | None (both parts) | $302.00 | $323.59 | $446.68 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $48.98 Typical High $72.44 | Professional | 26 · Professional part | $46.77 | $48.98 | $72.44 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $269.15 Typical High $363.08 | Professional | TC · Technical part | $257.04 | $269.15 | $363.08 |
United Setting Facility Modifier None Typical Low $331.13 Median $416.87 Typical High $512.86 | Facility | None | $331.13 | $416.87 | $512.86 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $288.40 Typical High $489.78 | Professional | None (both parts) | $165.96 | $288.40 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $46.77 Typical High $95.50 | Professional | 26 · Professional part | $26.92 | $46.77 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $245.47 Typical High $407.38 | Professional | TC · Technical part | $138.04 | $245.47 | $407.38 |
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 $66.07 Median $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $66.07 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $26.30 | $34.67 | $34.67 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $70.79 | $87.10 | $87.10 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $28.18 | $34.67 | $34.67 |
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· 5th of 51
$295
AK $407UT $117
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.