How much rates vary
Facilitymedian $575 · 10th to 90th $98 to $912Professionalmedian $724 · 10th to 90th $437 to $1,096
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 $602.56 Median $707.95 Typical High $912.01 | Facility | None | $602.56 | $707.95 | $912.01 |
Aetna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $501.19 Typical High $602.56 | Professional | None (both parts) | $331.13 | $501.19 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $72.44 Typical High $89.13 | Professional | 26 · Professional part | $56.23 | $72.44 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $426.58 Typical High $501.19 | Professional | TC · Technical part | $275.42 | $426.58 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $691.83 Typical High $1,202.26 | Professional | None (both parts) | $426.58 | $691.83 | $1,202.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $100.00 Typical High $169.82 | Professional | 26 · Professional part | $69.18 | $100.00 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $588.84 Typical High $1,047.13 | Professional | TC · Technical part | $371.54 | $588.84 | $1,047.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $794.33 Median $1,000.00 Typical High $1,202.26 | Professional | None | $794.33 | $1,000.00 | $1,202.26 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $134.90 Typical High $154.88 | Professional | 26 · Professional part | $109.65 | $134.90 | $154.88 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $870.96 Typical High $1,047.13 | Professional | TC · Technical part | $691.83 | $870.96 | $1,047.13 |
Moda Health Setting Facility Modifier None Typical Low $331.13 Median $851.14 Typical High $1,288.25 | Facility | None | $331.13 | $851.14 | $1,288.25 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $346.74 Median $501.19 Typical High $912.01 | Professional | None (both parts) | $346.74 | $501.19 | $912.01 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $72.44 Typical High $177.83 | Professional | 26 · Professional part | $57.54 | $72.44 | $177.83 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $426.58 Typical High $758.58 | Professional | TC · Technical part | $275.42 | $426.58 | $758.58 |
Pacific Source Setting Facility Modifier None Typical Low $91.20 Median $416.87 Typical High $724.44 | Facility | None | $91.20 | $416.87 | $724.44 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $125.89 Median $173.78 Typical High $977.24 | Professional | None (both parts) | $125.89 | $173.78 | $977.24 |
Providence Setting Facility Modifier None Typical Low $501.19 Median $724.44 Typical High $977.24 | Facility | None | $501.19 | $724.44 | $977.24 |
Providence Setting Professional Modifier None (both parts) Typical Low $457.09 Median $724.44 Typical High $1,148.15 | Professional | None (both parts) | $457.09 | $724.44 | $1,148.15 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $104.71 Typical High $162.18 | Professional | 26 · Professional part | $72.44 | $104.71 | $162.18 |
Providence Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $616.60 Typical High $1,000.00 | Professional | TC · Technical part | $354.81 | $616.60 | $1,000.00 |
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 $724.44 Median $758.58 Typical High $794.33 | Professional | None (both parts) | $724.44 | $758.58 | $794.33 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $107.15 Typical High $112.20 | Professional | 26 · Professional part | $102.33 | $107.15 | $112.20 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $645.65 Typical High $676.08 | Professional | TC · Technical part | $630.96 | $645.65 | $676.08 |
United Setting Facility Modifier None Typical Low $691.83 Median $851.14 Typical High $1,071.52 | Facility | None | $691.83 | $851.14 | $1,071.52 |
United Setting Professional Modifier None (both parts) Typical Low $446.68 Median $724.44 Typical High $1,288.25 | Professional | None (both parts) | $446.68 | $724.44 | $1,288.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $114.82 Typical High $181.97 | Professional | 26 · Professional part | $74.13 | $114.82 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $602.56 Typical High $1,096.48 | Professional | TC · Technical part | $380.19 | $602.56 | $1,096.48 |
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 $208.93 Median $251.19 Typical High $251.19 | Professional | 52 · Reduced service | $208.93 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $100.00 Typical High $100.00 | Professional | 53 · Discontinued | $83.18 | $100.00 | $100.00 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $218.78 Median $251.19 Typical High $251.19 | Professional | 52 · Reduced service | $218.78 | $251.19 | $251.19 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $100.00 Typical High $100.00 | Professional | 53 · Discontinued | $87.10 | $100.00 | $100.00 |
Where Oregon sits
The same service costs 3.0 times more in Alaska than in New Mexico. 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· 8th of 51
$692
AK $794NM $269
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.