How much rates vary
Facilitymedian $240 · 10th to 90th $37 to $389Professionalmedian $282 · 10th to 90th $170 to $417
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 $169.82 Median $208.93 Typical High $251.19 | Facility | None | $169.82 | $208.93 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $169.82 Typical High $181.97 | Professional | None (both parts) | $120.23 | $169.82 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $28.84 Typical High $29.51 | Professional | 26 · Professional part | $14.13 | $28.84 | $29.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $141.25 Typical High $162.18 | Professional | TC · Technical part | $104.71 | $141.25 | $162.18 |
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 $251.19 Typical High $426.58 | Professional | None (both parts) | $204.17 | $251.19 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $36.31 Typical High $60.26 | Professional | 26 · Professional part | $28.84 | $36.31 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $213.80 Typical High $363.08 | Professional | TC · Technical part | $177.83 | $213.80 | $363.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $257.04 Median $316.23 Typical High $398.11 | Professional | None | $257.04 | $316.23 | $398.11 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $46.77 Typical High $57.54 | Professional | 26 · Professional part | $41.69 | $46.77 | $57.54 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $269.15 Typical High $346.74 | Professional | TC · Technical part | $234.42 | $269.15 | $346.74 |
Moda Health Setting Facility Modifier None Typical Low $117.49 Median $457.09 Typical High $891.25 | Facility | None | $117.49 | $457.09 | $891.25 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $138.04 Median $190.55 Typical High $380.19 | Professional | None (both parts) | $138.04 | $190.55 | $380.19 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $28.84 Typical High $67.61 | Professional | 26 · Professional part | $21.38 | $28.84 | $67.61 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $141.25 Typical High $302.00 | Professional | TC · Technical part | $120.23 | $141.25 | $302.00 |
Pacific Source Setting Facility Modifier None Typical Low $30.90 Median $223.87 Typical High $302.00 | Facility | None | $30.90 | $223.87 | $302.00 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $26.30 Median $63.10 Typical High $331.13 | Professional | None (both parts) | $26.30 | $63.10 | $331.13 |
Providence Setting Facility Modifier None Typical Low $154.88 Median $346.74 Typical High $575.44 | Facility | None | $154.88 | $346.74 | $575.44 |
Providence Setting Professional Modifier None (both parts) Typical Low $218.78 Median $288.40 Typical High $436.52 | Professional | None (both parts) | $218.78 | $288.40 | $436.52 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $36.31 Typical High $67.61 | Professional | 26 · Professional part | $22.91 | $36.31 | $67.61 |
Providence Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $251.19 Typical High $371.54 | Professional | TC · Technical part | $190.55 | $251.19 | $371.54 |
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 $281.84 Median $295.12 Typical High $389.05 | Professional | None (both parts) | $281.84 | $295.12 | $389.05 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $45.71 Typical High $60.26 | Professional | 26 · Professional part | $42.66 | $45.71 | $60.26 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $251.19 Typical High $331.13 | Professional | TC · Technical part | $234.42 | $251.19 | $331.13 |
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 $229.09 Median $288.40 Typical High $467.74 | Professional | None (both parts) | $229.09 | $288.40 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $44.67 Typical High $74.13 | Professional | 26 · Professional part | $30.20 | $44.67 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $239.88 Typical High $407.38 | Professional | TC · Technical part | $190.55 | $239.88 | $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 $67.61 Median $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $67.61 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $33.88 Typical High $33.88 | Professional | 53 · Discontinued | $26.92 | $33.88 | $33.88 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $74.13 | $85.11 | $85.11 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $33.88 Typical High $33.88 | Professional | 53 · Discontinued | $29.51 | $33.88 | $33.88 |
Where Oregon sits
The same service costs 3.7 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
$275
AK $363UT $97.72
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.