How much rates vary
Facilitymedian $372 · 10th to 90th $191 to $1,514Professionalmedian $537 · 10th to 90th $302 to $794
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 $380.19 Median $380.19 Typical High $380.19 | Professional | None (both parts) | $380.19 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $154.88 Typical High $154.88 | Professional | 26 · Professional part | $131.83 | $154.88 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $229.09 Typical High $229.09 | Professional | TC · Technical part | $194.98 | $229.09 | $229.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $467.74 Typical High $831.76 | Professional | None (both parts) | $302.00 | $467.74 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $181.97 Typical High $331.13 | Professional | 26 · Professional part | $120.23 | $181.97 | $331.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $288.40 Typical High $501.19 | Professional | TC · Technical part | $177.83 | $288.40 | $501.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $575.44 Median $707.95 Typical High $912.01 | Professional | None | $575.44 | $707.95 | $912.01 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $281.84 Typical High $354.81 | Professional | 26 · Professional part | $245.47 | $281.84 | $354.81 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $426.58 Typical High $562.34 | Professional | TC · Technical part | $371.54 | $426.58 | $562.34 |
Moda Health Setting Facility Modifier None Typical Low $380.19 Median $549.54 Typical High $549.54 | Facility | None | $380.19 | $549.54 | $549.54 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None (both parts) | $380.19 | $380.19 | $380.19 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | 26 · Professional part | $154.88 | $154.88 | $154.88 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | TC · Technical part | $229.09 | $229.09 | $229.09 |
Pacific Source Setting Facility Modifier None Typical Low $165.96 Median $371.54 Typical High $616.60 | Facility | None | $165.96 | $371.54 | $616.60 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $151.36 Median $173.78 Typical High $371.54 | Professional | None (both parts) | $151.36 | $173.78 | $371.54 |
Providence Setting Facility Modifier None Typical Low $389.05 Median $562.34 Typical High $1,659,586.91 | Facility | None | $389.05 | $562.34 | $1,659,586.91 |
Providence Setting Professional Modifier None (both parts) Typical Low $79.43 Median $338.84 Typical High $933.25 | Professional | None (both parts) | $79.43 | $338.84 | $933.25 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $181.97 Typical High $371.54 | Professional | 26 · Professional part | $120.23 | $181.97 | $371.54 |
Providence Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $288.40 Typical High $549.54 | Professional | TC · Technical part | $177.83 | $288.40 | $549.54 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,445.44 Median $1,862.09 Typical High $2,187.76 | Facility | None | $1,445.44 | $1,862.09 | $2,187.76 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $588.84 Median $602.56 Typical High $630.96 | Professional | None (both parts) | $588.84 | $602.56 | $630.96 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $239.88 Typical High $251.19 | Professional | 26 · Professional part | $234.42 | $239.88 | $251.19 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $363.08 Typical High $380.19 | Professional | TC · Technical part | $346.74 | $363.08 | $380.19 |
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 $407.38 Median $524.81 Typical High $891.25 | Professional | None (both parts) | $407.38 | $524.81 | $891.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $199.53 Typical High $346.74 | Professional | 26 · Professional part | $162.18 | $199.53 | $346.74 |
United Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $302.00 Typical High $512.86 | Professional | TC · Technical part | $245.47 | $302.00 | $512.86 |
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 $190.55 Median $190.55 Typical High $190.55 | Professional | 52 · Reduced service | $190.55 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | 53 · Discontinued | $75.86 | $75.86 | $75.86 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | 52 · Reduced service | $190.55 | $190.55 | $190.55 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | 53 · Discontinued | $75.86 | $75.86 | $75.86 |
Where Oregon sits
The same service costs 9.8 times more in Alaska than in New York. 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· 3rd of 51
$525
AK $631NY $64.57
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.