How much rates vary
Facilitymedian $209 · 10th to 90th $41 to $912Professionalmedian $219 · 10th to 90th $120 to $347
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 $162.18 Median $204.17 Typical High $275.42 | Facility | None | $162.18 | $204.17 | $275.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $162.18 Typical High $229.09 | Professional | None (both parts) | $123.03 | $162.18 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $26.92 Typical High $40.74 | Professional | 26 · Professional part | $21.38 | $26.92 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $134.90 Typical High $186.21 | Professional | TC · Technical part | $102.33 | $134.90 | $186.21 |
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 $154.88 Median $208.93 Typical High $363.08 | Professional | None (both parts) | $154.88 | $208.93 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $33.88 Typical High $58.88 | Professional | 26 · Professional part | $26.30 | $33.88 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $173.78 Typical High $302.00 | Professional | TC · Technical part | $128.82 | $173.78 | $302.00 |
HealthNet Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 26 · Professional part | $53.70 | $53.70 | $53.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $223.87 Median $269.15 Typical High $331.13 | Professional | None | $223.87 | $269.15 | $331.13 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $46.77 Typical High $54.95 | Professional | 26 · Professional part | $38.90 | $46.77 | $54.95 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $218.78 Typical High $281.84 | Professional | TC · Technical part | $186.21 | $218.78 | $281.84 |
Moda Health Setting Facility Modifier None Typical Low $239.88 Median $851.14 Typical High $1,148.15 | Facility | None | $239.88 | $851.14 | $1,148.15 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $138.04 Median $229.09 Typical High $954.99 | Facility | TC · Technical part | $138.04 | $229.09 | $954.99 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $58.88 Median $162.18 Typical High $371.54 | Professional | None (both parts) | $58.88 | $162.18 | $371.54 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $33.11 Typical High $79.43 | Professional | 26 · Professional part | $20.89 | $33.11 | $79.43 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $144.54 Typical High $281.84 | Professional | TC · Technical part | $102.33 | $144.54 | $281.84 |
Pacific Source Setting Facility Modifier None Typical Low $33.88 Median $177.83 Typical High $239.88 | Facility | None | $33.88 | $177.83 | $239.88 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $34.67 Median $42.66 Typical High $186.21 | Professional | None (both parts) | $34.67 | $42.66 | $186.21 |
Providence Setting Facility Modifier None Typical Low $141.25 Median $309.03 Typical High $389.05 | Facility | None | $141.25 | $309.03 | $389.05 |
Providence Setting Professional Modifier None (both parts) Typical Low $181.97 Median $234.42 Typical High $346.74 | Professional | None (both parts) | $181.97 | $234.42 | $346.74 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $40.74 Typical High $61.66 | Professional | 26 · Professional part | $29.51 | $40.74 | $61.66 |
Providence Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $190.55 Typical High $288.40 | Professional | TC · Technical part | $151.36 | $190.55 | $288.40 |
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 $218.78 Median $239.88 Typical High $331.13 | Professional | None (both parts) | $218.78 | $239.88 | $331.13 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $41.69 Typical High $57.54 | Professional | 26 · Professional part | $38.90 | $41.69 | $57.54 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $199.53 Typical High $269.15 | Professional | TC · Technical part | $181.97 | $199.53 | $269.15 |
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 $123.03 Median $223.87 Typical High $363.08 | Professional | None (both parts) | $123.03 | $223.87 | $363.08 |
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 $102.33 Median $181.97 Typical High $295.12 | Professional | TC · Technical part | $102.33 | $181.97 | $295.12 |
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 $61.66 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $61.66 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $24.55 | $32.36 | $32.36 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $58.88 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $58.88 | $81.28 | $81.28 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $25.12 | $32.36 | $32.36 |
Where Oregon sits
The same service costs 4.0 times more in Minnesota 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· 9th of 51
$219
MN $380UT $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.