How much rates vary
Facilitymedian $759 · 10th to 90th $209 to $1,230Professionalmedian $1,023 · 10th to 90th $692 to $1,549
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 $501.19 Median $724.44 Typical High $724.44 | Professional | None (both parts) | $501.19 | $724.44 | $724.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $151.36 Typical High $151.36 | Professional | 26 · Professional part | $117.49 | $151.36 | $151.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $575.44 Typical High $575.44 | Professional | TC · Technical part | $380.19 | $575.44 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $602.56 Median $977.24 Typical High $1,698.24 | Professional | None (both parts) | $602.56 | $977.24 | $1,698.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $204.17 Typical High $354.81 | Professional | 26 · Professional part | $141.25 | $204.17 | $354.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $489.78 Median $776.25 Typical High $1,348.96 | Professional | TC · Technical part | $489.78 | $776.25 | $1,348.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,148.15 Median $1,445.44 Typical High $1,698.24 | Professional | None | $1,148.15 | $1,445.44 | $1,698.24 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $281.84 Typical High $323.59 | Professional | 26 · Professional part | $229.09 | $281.84 | $323.59 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $1,148.15 Typical High $1,380.38 | Professional | TC · Technical part | $912.01 | $1,148.15 | $1,380.38 |
Moda Health Setting Facility Modifier None Typical Low $724.44 Median $1,230.27 Typical High $1,230.27 | Facility | None | $724.44 | $1,230.27 | $1,230.27 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $562.34 Median $724.44 Typical High $1,174.90 | Professional | None (both parts) | $562.34 | $724.44 | $1,174.90 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $151.36 Typical High $288.40 | Professional | 26 · Professional part | $117.49 | $151.36 | $288.40 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $575.44 Typical High $1,023.29 | Professional | TC · Technical part | $398.11 | $575.44 | $1,023.29 |
Pacific Source Setting Facility Modifier None Typical Low $190.55 Median $724.44 Typical High $1,096.48 | Facility | None | $190.55 | $724.44 | $1,096.48 |
Providence Setting Facility Modifier None Typical Low $724.44 Median $1,230.27 Typical High $1,412.54 | Facility | None | $724.44 | $1,230.27 | $1,412.54 |
Providence Setting Professional Modifier None (both parts) Typical Low $691.83 Median $1,047.13 Typical High $1,621.81 | Professional | None (both parts) | $691.83 | $1,047.13 | $1,621.81 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $218.78 Typical High $338.84 | Professional | 26 · Professional part | $151.36 | $218.78 | $338.84 |
Providence Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $794.33 Typical High $1,288.25 | Professional | TC · Technical part | $524.81 | $794.33 | $1,288.25 |
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 $1,023.29 Median $1,071.52 Typical High $1,122.02 | Professional | None (both parts) | $1,023.29 | $1,071.52 | $1,122.02 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $218.78 Typical High $239.88 | Professional | 26 · Professional part | $213.80 | $218.78 | $239.88 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $851.14 Typical High $891.25 | Professional | TC · Technical part | $812.83 | $851.14 | $891.25 |
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 $676.08 Median $1,047.13 Typical High $1,819.70 | Professional | None (both parts) | $676.08 | $1,047.13 | $1,819.70 |
United Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $239.88 Typical High $380.19 | Professional | 26 · Professional part | $165.96 | $239.88 | $380.19 |
United Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $794.33 Typical High $1,445.44 | Professional | TC · Technical part | $524.81 | $794.33 | $1,445.44 |
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 $302.00 Median $363.08 Typical High $363.08 | Professional | 52 · Reduced service | $302.00 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $144.54 Typical High $144.54 | Professional | 53 · Discontinued | $120.23 | $144.54 | $144.54 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $309.03 Median $363.08 Typical High $363.08 | Professional | 52 · Reduced service | $309.03 | $363.08 | $363.08 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $144.54 Typical High $144.54 | Professional | 53 · Discontinued | $123.03 | $144.54 | $144.54 |
Where Oregon sits
The same service costs 3.1 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
$977
AK $1,259TX $407
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.