How much rates vary
Facilitymedian $214 · 10th to 90th $40 to $525Professionalmedian $251 · 10th to 90th $166 to $380
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 Facility Modifier None Typical Low $204.17 Median $302.00 Typical High $302.00 | Facility | None | $204.17 | $302.00 | $302.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $173.78 Typical High $251.19 | Professional | None (both parts) | $144.54 | $173.78 | $251.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $26.92 Typical High $33.11 | Professional | 26 · Professional part | $21.38 | $26.92 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $147.91 Typical High $218.78 | Professional | TC · Technical part | $123.03 | $147.91 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $478.63 Typical High $588.84 | Facility | None | $338.84 | $478.63 | $588.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $229.09 Typical High $398.11 | Professional | None (both parts) | $173.78 | $229.09 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $34.67 Typical High $58.88 | Professional | 26 · Professional part | $26.30 | $34.67 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $194.98 Typical High $338.84 | Professional | TC · Technical part | $147.91 | $194.98 | $338.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $257.04 Median $309.03 Typical High $380.19 | Professional | None | $257.04 | $309.03 | $380.19 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $47.86 Typical High $56.23 | Professional | 26 · Professional part | $39.81 | $47.86 | $56.23 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $257.04 Typical High $323.59 | Professional | TC · Technical part | $218.78 | $257.04 | $323.59 |
Moda Health Setting Facility Modifier None Typical Low $302.00 Median $616.60 Typical High $2,398.83 | Facility | None | $302.00 | $616.60 | $2,398.83 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $134.90 Median $213.80 Typical High $371.54 | Professional | None (both parts) | $134.90 | $213.80 | $371.54 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $26.92 Typical High $64.57 | Professional | 26 · Professional part | $21.38 | $26.92 | $64.57 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $165.96 Typical High $288.40 | Professional | TC · Technical part | $131.83 | $165.96 | $288.40 |
Pacific Source Setting Facility Modifier None Typical Low $34.67 Median $194.98 Typical High $263.03 | Facility | None | $34.67 | $194.98 | $263.03 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $34.67 Median $45.71 Typical High $229.09 | Professional | None (both parts) | $34.67 | $45.71 | $229.09 |
Providence Setting Facility Modifier None Typical Low $162.18 Median $371.54 Typical High $478.63 | Facility | None | $162.18 | $371.54 | $478.63 |
Providence Setting Professional Modifier None (both parts) Typical Low $199.53 Median $269.15 Typical High $380.19 | Professional | None (both parts) | $199.53 | $269.15 | $380.19 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $40.74 Typical High $63.10 | Professional | 26 · Professional part | $29.51 | $40.74 | $63.10 |
Providence Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $223.87 Typical High $323.59 | Professional | TC · Technical part | $169.82 | $223.87 | $323.59 |
Regence BlueShield Setting Facility Modifier None Typical Low $407.38 Median $549.54 Typical High $630.96 | Facility | None | $407.38 | $549.54 | $630.96 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $251.19 Median $263.03 Typical High $354.81 | Professional | None (both parts) | $251.19 | $263.03 | $354.81 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $42.66 Typical High $58.88 | Professional | 26 · Professional part | $39.81 | $42.66 | $58.88 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $218.78 Typical High $295.12 | Professional | TC · Technical part | $208.93 | $218.78 | $295.12 |
United Setting Facility Modifier None Typical Low $691.83 Median $851.14 Typical High $1,071.52 | Facility | None | $691.83 | $851.14 | $1,071.52 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $245.47 Typical High $389.05 | Professional | None (both parts) | $134.90 | $245.47 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $39.81 Typical High $66.07 | Professional | 26 · Professional part | $22.91 | $39.81 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $208.93 Typical High $331.13 | Professional | TC · Technical part | $112.20 | $208.93 | $331.13 |
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 $67.61 Median $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $67.61 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $26.92 | $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 3.3 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· 7th of 51
$245
AK $316UT $95.50
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.