How much rates vary
Facilitymedian $1,585 · 10th to 90th $204 to $3,020Professionalmedian $1,820 · 10th to 90th $1,230 to $2,754
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 $1,548.82 Median $1,548.82 Typical High $1,819.70 | Facility | None | $1,548.82 | $1,548.82 | $1,819.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,258.93 Typical High $1,380.38 | Professional | None (both parts) | $1,047.13 | $1,258.93 | $1,380.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $162.18 Typical High $169.82 | Professional | 26 · Professional part | $128.82 | $162.18 | $169.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $1,096.48 Typical High $1,230.27 | Professional | TC · Technical part | $912.01 | $1,096.48 | $1,230.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $1,778.28 Typical High $3,019.95 | Professional | None (both parts) | $1,202.26 | $1,778.28 | $3,019.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $213.80 Typical High $371.54 | Professional | 26 · Professional part | $147.91 | $213.80 | $371.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,047.13 Median $1,548.82 Typical High $2,630.27 | Professional | TC · Technical part | $1,047.13 | $1,548.82 | $2,630.27 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,949.84 Median $2,454.71 Typical High $2,951.21 | Professional | None | $1,949.84 | $2,454.71 | $2,951.21 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $288.40 Typical High $331.13 | Professional | 26 · Professional part | $234.42 | $288.40 | $331.13 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $1,698.24 Median $2,187.76 Typical High $2,570.40 | Professional | TC · Technical part | $1,698.24 | $2,187.76 | $2,570.40 |
Moda Health Setting Facility Modifier None Typical Low $1,548.82 Median $3,548.13 Typical High $5,370.32 | Facility | None | $1,548.82 | $3,548.13 | $5,370.32 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,258.93 Typical High $2,187.76 | Professional | None (both parts) | $1,148.15 | $1,258.93 | $2,187.76 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $162.18 Typical High $323.59 | Professional | 26 · Professional part | $128.82 | $162.18 | $323.59 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $1,000.00 Median $1,096.48 Typical High $1,819.70 | Professional | TC · Technical part | $1,000.00 | $1,096.48 | $1,819.70 |
Pacific Source Setting Facility Modifier None Typical Low $199.53 Median $1,479.11 Typical High $1,905.46 | Facility | None | $199.53 | $1,479.11 | $1,905.46 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $1,412.54 | Professional | None (both parts) | $234.42 | $234.42 | $1,412.54 |
Providence Setting Facility Modifier None Typical Low $1,412.54 Median $2,041.74 Typical High $2,511.89 | Facility | None | $1,412.54 | $2,041.74 | $2,511.89 |
Providence Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,862.09 Typical High $2,884.03 | Professional | None (both parts) | $1,230.27 | $1,862.09 | $2,884.03 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $234.42 Typical High $354.81 | Professional | 26 · Professional part | $162.18 | $234.42 | $354.81 |
Providence Setting Professional Modifier TC · Technical part Typical Low $1,122.02 Median $1,659.59 Typical High $2,511.89 | Professional | TC · Technical part | $1,122.02 | $1,659.59 | $2,511.89 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,691.53 Median $3,630.78 Typical High $4,168.69 | Facility | None | $2,691.53 | $3,630.78 | $4,168.69 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $1,819.70 Median $1,862.09 Typical High $1,949.84 | Professional | None (both parts) | $1,819.70 | $1,862.09 | $1,949.84 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $229.09 Typical High $245.47 | Professional | 26 · Professional part | $223.87 | $229.09 | $245.47 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $1,584.89 Median $1,621.81 Typical High $1,737.80 | Professional | TC · Technical part | $1,584.89 | $1,621.81 | $1,737.80 |
United Setting Facility Modifier None Typical Low $2,754.23 Median $3,388.44 Typical High $4,265.80 | Facility | None | $2,754.23 | $3,388.44 | $4,265.80 |
United Setting Professional Modifier None (both parts) Typical Low $1,380.38 Median $1,862.09 Typical High $3,162.28 | Professional | None (both parts) | $1,380.38 | $1,862.09 | $3,162.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $251.19 Typical High $389.05 | Professional | 26 · Professional part | $181.97 | $251.19 | $389.05 |
United Setting Professional Modifier TC · Technical part Typical Low $1,174.90 Median $1,584.89 Typical High $2,818.38 | Professional | TC · Technical part | $1,174.90 | $1,584.89 | $2,818.38 |
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 $562.34 Median $630.96 Typical High $630.96 | Professional | 52 · Reduced service | $562.34 | $630.96 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $251.19 Typical High $251.19 | Professional | 53 · Discontinued | $229.09 | $251.19 | $251.19 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $616.60 Median $630.96 Typical High $630.96 | Professional | 52 · Reduced service | $616.60 | $630.96 | $630.96 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $251.19 Typical High $251.19 | Professional | 53 · Discontinued | $245.47 | $251.19 | $251.19 |
Where Oregon sits
The same service costs 2.9 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· 7th of 51
$1,820
AK $2,138TX $741
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.