How much rates vary
Facilitymedian $174 · 10th to 90th $100 to $427Professionalmedian $288 · 10th to 90th $174 to $407
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 $245.47 Median $251.19 Typical High $251.19 | Facility | None | $245.47 | $251.19 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $204.17 Typical High $213.80 | Professional | None (both parts) | $165.96 | $204.17 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $87.10 Typical High $87.10 | Professional | 26 · Professional part | $66.07 | $87.10 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $117.49 Typical High $128.82 | Professional | TC · Technical part | $100.00 | $117.49 | $128.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $234.42 Typical High $407.38 | Professional | None (both parts) | $162.18 | $234.42 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $95.50 Typical High $169.82 | Professional | 26 · Professional part | $66.07 | $95.50 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $138.04 Typical High $234.42 | Professional | TC · Technical part | $95.50 | $138.04 | $234.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $295.12 Median $363.08 Typical High $467.74 | Professional | None | $295.12 | $363.08 | $467.74 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $147.91 Typical High $186.21 | Professional | 26 · Professional part | $125.89 | $147.91 | $186.21 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $213.80 Typical High $281.84 | Professional | TC · Technical part | $186.21 | $213.80 | $281.84 |
Moda Health Setting Facility Modifier None Typical Low $251.19 Median $426.58 Typical High $2,818.38 | Facility | None | $251.19 | $426.58 | $2,818.38 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $186.21 Median $208.93 Typical High $338.84 | Professional | None (both parts) | $186.21 | $208.93 | $338.84 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $87.10 Typical High $165.96 | Professional | 26 · Professional part | $74.13 | $87.10 | $165.96 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $117.49 Typical High $208.93 | Professional | TC · Technical part | $109.65 | $117.49 | $208.93 |
Pacific Source Setting Facility Modifier None Typical Low $100.00 Median $169.82 Typical High $309.03 | Facility | None | $100.00 | $169.82 | $309.03 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $81.28 Median $114.82 Typical High $173.78 | Professional | None (both parts) | $81.28 | $114.82 | $173.78 |
Providence Setting Facility Modifier None Typical Low $199.53 Median $354.81 Typical High $426.58 | Facility | None | $199.53 | $354.81 | $426.58 |
Providence Setting Professional Modifier None (both parts) Typical Low $165.96 Median $269.15 Typical High $446.68 | Professional | None (both parts) | $165.96 | $269.15 | $446.68 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $95.50 Typical High $194.98 | Professional | 26 · Professional part | $69.18 | $95.50 | $194.98 |
Providence Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $138.04 Typical High $257.04 | Professional | TC · Technical part | $97.72 | $138.04 | $257.04 |
Regence BlueShield Setting Facility Modifier None Typical Low $758.58 Median $1,071.52 Typical High $1,230.27 | Facility | None | $758.58 | $1,071.52 | $1,230.27 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $288.40 Median $295.12 Typical High $309.03 | Professional | None (both parts) | $288.40 | $295.12 | $309.03 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $125.89 Typical High $131.83 | Professional | 26 · Professional part | $123.03 | $125.89 | $131.83 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $169.82 Typical High $177.83 | Professional | TC · Technical part | $162.18 | $169.82 | $177.83 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,479.11 Typical High $1,819.70 | Facility | None | $1,174.90 | $1,479.11 | $1,819.70 |
United Setting Professional Modifier None (both parts) Typical Low $218.78 Median $281.84 Typical High $457.09 | Professional | None (both parts) | $218.78 | $281.84 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $125.89 Typical High $204.17 | Professional | 26 · Professional part | $97.72 | $125.89 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $162.18 Typical High $257.04 | Professional | TC · Technical part | $125.89 | $162.18 | $257.04 |
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 $89.13 Median $102.33 Typical High $102.33 | Professional | 52 · Reduced service | $89.13 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $40.74 Typical High $40.74 | Professional | 53 · Discontinued | $35.48 | $40.74 | $40.74 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | 52 · Reduced service | $102.33 | $102.33 | $102.33 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | 53 · Discontinued | $40.74 | $40.74 | $40.74 |
Where Oregon sits
The same service costs 3.6 times more in Alaska than in Texas. 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· 6th of 51
$282
AK $331TX $91.20
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.