How much rates vary
Facilitymedian $155 · 10th to 90th $91 to $331Professionalmedian $257 · 10th to 90th $174 to $380
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 $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $186.21 Typical High $223.87 | Professional | None (both parts) | $144.54 | $186.21 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $102.33 Typical High $125.89 | Professional | 26 · Professional part | $79.43 | $102.33 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $85.11 Typical High $100.00 | Professional | TC · Technical part | $64.57 | $85.11 | $100.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $239.88 Typical High $407.38 | Professional | None (both parts) | $177.83 | $239.88 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $138.04 Typical High $239.88 | Professional | 26 · Professional part | $95.50 | $138.04 | $239.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $104.71 Typical High $173.78 | Professional | TC · Technical part | $79.43 | $104.71 | $173.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $275.42 Median $346.74 Typical High $398.11 | Professional | None | $275.42 | $346.74 | $398.11 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $190.55 Typical High $218.78 | Professional | 26 · Professional part | $154.88 | $190.55 | $218.78 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $151.36 Typical High $181.97 | Professional | TC · Technical part | $120.23 | $151.36 | $181.97 |
Moda Health Setting Facility Modifier None Typical Low $186.21 Median $269.15 Typical High $363.08 | Facility | None | $186.21 | $269.15 | $363.08 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $147.91 Median $186.21 Typical High $407.38 | Professional | None (both parts) | $147.91 | $186.21 | $407.38 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $102.33 Typical High $190.55 | Professional | 26 · Professional part | $81.28 | $102.33 | $190.55 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $85.11 Typical High $131.83 | Professional | TC · Technical part | $67.61 | $85.11 | $131.83 |
Pacific Source Setting Facility Modifier None Typical Low $91.20 Median $154.88 Typical High $275.42 | Facility | None | $91.20 | $154.88 | $275.42 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $144.54 | Professional | None (both parts) | $107.15 | $107.15 | $144.54 |
Providence Setting Facility Modifier None Typical Low $169.82 Median $239.88 Typical High $363.08 | Facility | None | $169.82 | $239.88 | $363.08 |
Providence Setting Professional Modifier None (both parts) Typical Low $177.83 Median $269.15 Typical High $389.05 | Professional | None (both parts) | $177.83 | $269.15 | $389.05 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $147.91 Typical High $229.09 | Professional | 26 · Professional part | $102.33 | $147.91 | $229.09 |
Providence Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $120.23 Typical High $173.78 | Professional | TC · Technical part | $79.43 | $120.23 | $173.78 |
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 $245.47 Median $257.04 Typical High $281.84 | Professional | None (both parts) | $245.47 | $257.04 | $281.84 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $147.91 Typical High $158.49 | Professional | 26 · Professional part | $144.54 | $147.91 | $158.49 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $107.15 Typical High $120.23 | Professional | TC · Technical part | $104.71 | $107.15 | $120.23 |
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 $204.17 Median $288.40 Typical High $436.52 | Professional | None (both parts) | $204.17 | $288.40 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $162.18 Typical High $251.19 | Professional | 26 · Professional part | $112.20 | $162.18 | $251.19 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $128.82 Typical High $186.21 | Professional | TC · Technical part | $91.20 | $128.82 | $186.21 |
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 $77.62 Median $93.33 Typical High $93.33 | Professional | 52 · Reduced service | $77.62 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $31.62 | $37.15 | $37.15 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $93.33 Typical High $93.33 | Professional | 52 · Reduced service | $79.43 | $93.33 | $93.33 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $31.62 | $37.15 | $37.15 |
Where Oregon sits
The same service costs 4.0 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· 8th of 51
$251
AK $339TX $85.11
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.