How much rates vary
Facilitymedian $209 · 10th to 90th $44 to $347Professionalmedian $324 · 10th to 90th $191 to $490
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 $162.18 Median $190.55 Typical High $190.55 | Professional | None (both parts) | $162.18 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $33.88 Typical High $33.88 | Professional | 26 · Professional part | $28.18 | $33.88 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $154.88 Typical High $154.88 | Professional | TC · Technical part | $134.90 | $154.88 | $154.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $309.03 Typical High $562.34 | Professional | None (both parts) | $194.98 | $309.03 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $47.86 Typical High $81.28 | Professional | 26 · Professional part | $32.36 | $47.86 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $269.15 Typical High $478.63 | Professional | TC · Technical part | $165.96 | $269.15 | $478.63 |
Kaiser Permanente Setting Professional Modifier None Typical Low $331.13 Median $416.87 Typical High $489.78 | Professional | None | $331.13 | $416.87 | $489.78 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $64.57 Typical High $74.13 | Professional | 26 · Professional part | $52.48 | $64.57 | $74.13 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $346.74 Typical High $416.87 | Professional | TC · Technical part | $275.42 | $346.74 | $416.87 |
Moda Health Setting Facility Modifier None Typical Low $190.55 Median $309.03 Typical High $467.74 | Facility | None | $190.55 | $309.03 | $467.74 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $177.83 Median $190.55 Typical High $380.19 | Professional | None (both parts) | $177.83 | $190.55 | $380.19 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $33.88 Typical High $58.88 | Professional | 26 · Professional part | $32.36 | $33.88 | $58.88 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $154.88 Typical High $323.59 | Professional | TC · Technical part | $134.90 | $154.88 | $323.59 |
Pacific Source Setting Facility Modifier None Typical Low $43.65 Median $190.55 Typical High $316.23 | Facility | None | $43.65 | $190.55 | $316.23 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $41.69 Median $162.18 Typical High $407.38 | Professional | None (both parts) | $41.69 | $162.18 | $407.38 |
Providence Setting Facility Modifier None Typical Low $208.93 Median $309.03 Typical High $467.74 | Facility | None | $208.93 | $309.03 | $467.74 |
Providence Setting Professional Modifier None (both parts) Typical Low $190.55 Median $316.23 Typical High $537.03 | Professional | None (both parts) | $190.55 | $316.23 | $537.03 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $50.12 Typical High $77.62 | Professional | 26 · Professional part | $34.67 | $50.12 | $77.62 |
Providence Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $269.15 Typical High $457.09 | Professional | TC · Technical part | $158.49 | $269.15 | $457.09 |
Regence BlueShield Setting Facility Modifier None Typical Low $426.58 Median $851.14 Typical High $1,230.27 | Facility | None | $426.58 | $851.14 | $1,230.27 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $338.84 Median $346.74 Typical High $363.08 | Professional | None (both parts) | $338.84 | $346.74 | $363.08 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $51.29 Typical High $53.70 | Professional | 26 · Professional part | $48.98 | $51.29 | $53.70 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $295.12 Typical High $316.23 | Professional | TC · Technical part | $288.40 | $295.12 | $316.23 |
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 $173.78 Median $281.84 Typical High $588.84 | Professional | None (both parts) | $173.78 | $281.84 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $53.70 Typical High $87.10 | Professional | 26 · Professional part | $36.31 | $53.70 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $234.42 Typical High $501.19 | Professional | TC · Technical part | $144.54 | $234.42 | $501.19 |
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 $93.33 Typical High $93.33 | Professional | 52 · Reduced service | $89.13 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $38.02 Typical High $38.02 | Professional | 53 · Discontinued | $35.48 | $38.02 | $38.02 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | 52 · Reduced service | $93.33 | $93.33 | $93.33 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | 53 · Discontinued | $38.02 | $38.02 | $38.02 |
Where Oregon sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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
$295
AK $324KY $115
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.