How much rates vary
Facilitymedian $132 · 10th to 90th $76 to $347Professionalmedian $224 · 10th to 90th $158 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 Professional Modifier None (both parts) Typical Low $134.90 Median $158.49 Typical High $229.09 | Professional | None (both parts) | $134.90 | $158.49 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $75.86 Typical High $89.13 | Professional | 26 · Professional part | $58.88 | $75.86 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $81.28 Typical High $154.88 | Professional | TC · Technical part | $69.18 | $81.28 | $154.88 |
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 $162.18 Median $204.17 Typical High $363.08 | Professional | None (both parts) | $162.18 | $204.17 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $97.72 Typical High $165.96 | Professional | 26 · Professional part | $72.44 | $97.72 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $104.71 Typical High $190.55 | Professional | TC · Technical part | $83.18 | $104.71 | $190.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $234.42 Median $275.42 Typical High $338.84 | Professional | None | $234.42 | $275.42 | $338.84 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $138.04 Typical High $162.18 | Professional | 26 · Professional part | $114.82 | $138.04 | $162.18 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $141.25 Typical High $177.83 | Professional | TC · Technical part | $120.23 | $141.25 | $177.83 |
Moda Health Setting Facility Modifier None Typical Low $158.49 Median $295.12 Typical High $724.44 | Facility | None | $158.49 | $295.12 | $724.44 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $158.49 Median $199.53 Typical High $316.23 | Professional | None (both parts) | $158.49 | $199.53 | $316.23 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $75.86 Typical High $144.54 | Professional | 26 · Professional part | $58.88 | $75.86 | $144.54 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $112.20 Typical High $173.78 | Professional | TC · Technical part | $81.28 | $112.20 | $173.78 |
Pacific Source Setting Facility Modifier None Typical Low $70.79 Median $117.49 Typical High $234.42 | Facility | None | $70.79 | $117.49 | $234.42 |
Providence Setting Facility Modifier None Typical Low $144.54 Median $295.12 Typical High $446.68 | Facility | None | $144.54 | $295.12 | $446.68 |
Providence Setting Professional Modifier None (both parts) Typical Low $173.78 Median $239.88 Typical High $354.81 | Professional | None (both parts) | $173.78 | $239.88 | $354.81 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $112.20 Typical High $173.78 | Professional | 26 · Professional part | $85.11 | $112.20 | $173.78 |
Providence Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $128.82 Typical High $199.53 | Professional | TC · Technical part | $89.13 | $128.82 | $199.53 |
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 $223.87 Median $234.42 Typical High $323.59 | Professional | None (both parts) | $223.87 | $234.42 | $323.59 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $117.49 Typical High $162.18 | Professional | 26 · Professional part | $109.65 | $117.49 | $162.18 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $117.49 Typical High $162.18 | Professional | TC · Technical part | $112.20 | $117.49 | $162.18 |
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 $125.89 Median $223.87 Typical High $363.08 | Professional | None (both parts) | $125.89 | $223.87 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $109.65 Typical High $181.97 | Professional | 26 · Professional part | $63.10 | $109.65 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $112.20 Typical High $190.55 | Professional | TC · Technical part | $61.66 | $112.20 | $190.55 |
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 $60.26 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $60.26 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $24.55 | $31.62 | $31.62 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $63.10 | $77.62 | $77.62 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $25.12 | $31.62 | $31.62 |
Where Oregon sits
The same service costs 4.6 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· 9th of 51
$224
AK $316UT $69.18
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.