How much rates vary
Facilitymedian $407 · 10th to 90th $65 to $977Professionalmedian $457 · 10th to 90th $257 to $708
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 $338.84 Median $416.87 Typical High $549.54 | Facility | None | $338.84 | $416.87 | $549.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $338.84 Typical High $446.68 | Professional | None (both parts) | $194.98 | $338.84 | $446.68 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $47.86 Typical High $58.88 | Professional | 26 · Professional part | $28.18 | $47.86 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $288.40 Typical High $389.05 | Professional | TC · Technical part | $165.96 | $288.40 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $741.31 Typical High $891.25 | Facility | None | $524.81 | $741.31 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $416.87 Typical High $724.44 | Professional | None (both parts) | $309.03 | $416.87 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $60.26 Typical High $104.71 | Professional | 26 · Professional part | $41.69 | $60.26 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $354.81 Typical High $630.96 | Professional | TC · Technical part | $281.84 | $354.81 | $630.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $457.09 Median $549.54 Typical High $676.08 | Professional | None | $457.09 | $549.54 | $676.08 |
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 $389.05 Median $457.09 Typical High $588.84 | Professional | TC · Technical part | $389.05 | $457.09 | $588.84 |
Moda Health Setting Facility Modifier None Typical Low $338.84 Median $1,023.29 Typical High $1,445.44 | Facility | None | $338.84 | $1,023.29 | $1,445.44 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $346.74 Median $512.86 Typical High $1,348.96 | Facility | TC · Technical part | $346.74 | $512.86 | $1,348.96 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $199.53 Median $338.84 Typical High $660.69 | Professional | None (both parts) | $199.53 | $338.84 | $660.69 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $47.86 Typical High $109.65 | Professional | 26 · Professional part | $30.20 | $47.86 | $109.65 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $288.40 Typical High $524.81 | Professional | TC · Technical part | $169.82 | $288.40 | $524.81 |
Pacific Source Setting Facility Modifier None Typical Low $56.23 Median $354.81 Typical High $489.78 | Facility | None | $56.23 | $354.81 | $489.78 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $467.74 | Professional | None (both parts) | $54.95 | $54.95 | $467.74 |
Providence Setting Facility Modifier None Typical Low $288.40 Median $630.96 Typical High $831.76 | Facility | None | $288.40 | $630.96 | $831.76 |
Providence Setting Professional Modifier None (both parts) Typical Low $363.08 Median $489.78 Typical High $707.95 | Professional | None (both parts) | $363.08 | $489.78 | $707.95 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $69.18 Typical High $109.65 | Professional | 26 · Professional part | $50.12 | $69.18 | $109.65 |
Providence Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $407.38 Typical High $616.60 | Professional | TC · Technical part | $309.03 | $407.38 | $616.60 |
Regence BlueShield Setting Facility Modifier None Typical Low $691.83 Median $851.14 Typical High $1,047.13 | Facility | None | $691.83 | $851.14 | $1,047.13 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $457.09 Median $478.63 Typical High $660.69 | Professional | None (both parts) | $457.09 | $478.63 | $660.69 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $74.13 Typical High $102.33 | Professional | 26 · Professional part | $69.18 | $74.13 | $102.33 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $407.38 Typical High $549.54 | Professional | TC · Technical part | $389.05 | $407.38 | $549.54 |
United Setting Facility Modifier None Typical Low $758.58 Median $954.99 Typical High $1,174.90 | Facility | None | $758.58 | $954.99 | $1,174.90 |
United Setting Professional Modifier None (both parts) Typical Low $257.04 Median $457.09 Typical High $758.58 | Professional | None (both parts) | $257.04 | $457.09 | $758.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $69.18 Typical High $117.49 | Professional | 26 · Professional part | $39.81 | $69.18 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $398.11 Typical High $645.65 | Professional | TC · Technical part | $218.78 | $398.11 | $645.65 |
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 $120.23 Median $169.82 Typical High $169.82 | Professional | 52 · Reduced service | $120.23 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $67.61 Typical High $67.61 | Professional | 53 · Discontinued | $47.86 | $67.61 | $67.61 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $128.82 Median $169.82 Typical High $169.82 | Professional | 52 · Reduced service | $128.82 | $169.82 | $169.82 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $67.61 Typical High $67.61 | Professional | 53 · Discontinued | $51.29 | $67.61 | $67.61 |
Where Oregon sits
The same service costs 3.2 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· 8th of 51
$447
AK $603UT $191
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.