How much rates vary
Facilitymedian $832 · 10th to 90th $263 to $1,660Professionalmedian $1,622 · 10th to 90th $1,202 to $2,951
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 $1,000.00 Median $1,202.26 Typical High $1,202.26 | Professional | None (both parts) | $1,000.00 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $234.42 Typical High $234.42 | Professional | 26 · Professional part | $208.93 | $234.42 | $234.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $954.99 Typical High $954.99 | Professional | TC · Technical part | $812.83 | $954.99 | $954.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,548.82 Typical High $2,570.40 | Professional | None (both parts) | $1,122.02 | $1,548.82 | $2,570.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $302.00 Typical High $512.86 | Professional | 26 · Professional part | $223.87 | $302.00 | $512.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $1,258.93 Typical High $2,089.30 | Professional | TC · Technical part | $912.01 | $1,258.93 | $2,089.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,778.28 Median $2,238.72 Typical High $2,630.27 | Professional | None | $1,778.28 | $2,238.72 | $2,630.27 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $436.52 Typical High $501.19 | Professional | 26 · Professional part | $354.81 | $436.52 | $501.19 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $1,412.54 Median $1,778.28 Typical High $2,137.96 | Professional | TC · Technical part | $1,412.54 | $1,778.28 | $2,137.96 |
Moda Health Setting Facility Modifier None Typical Low $380.19 Median $1,202.26 Typical High $2,238.72 | Facility | None | $380.19 | $1,202.26 | $2,238.72 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,202.26 Typical High $1,202.26 | Professional | None (both parts) | $1,174.90 | $1,202.26 | $1,202.26 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $234.42 Typical High $407.38 | Professional | 26 · Professional part | $218.78 | $234.42 | $407.38 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $933.25 Median $954.99 Typical High $954.99 | Professional | TC · Technical part | $933.25 | $954.99 | $954.99 |
Pacific Source Setting Facility Modifier None Typical Low $263.03 Median $676.08 Typical High $1,659.59 | Facility | None | $263.03 | $676.08 | $1,659.59 |
Providence Setting Facility Modifier None Typical Low $380.19 Median $1,122.02 Typical High $2,238.72 | Facility | None | $380.19 | $1,122.02 | $2,238.72 |
Providence Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $2,454.71 Typical High $2,238,721.14 | Professional | None (both parts) | $1,258.93 | $2,454.71 | $2,238,721.14 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $338.84 Typical High $489.78 | Professional | 26 · Professional part | $229.09 | $338.84 | $489.78 |
Providence Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $1,412.54 Typical High $2,089.30 | Professional | TC · Technical part | $912.01 | $1,412.54 | $2,089.30 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $1,621.81 Typical High $1,778.28 | Professional | None (both parts) | $1,548.82 | $1,621.81 | $1,778.28 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $323.59 Typical High $354.81 | Professional | 26 · Professional part | $309.03 | $323.59 | $354.81 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $1,258.93 Median $1,288.25 Typical High $1,412.54 | Professional | TC · Technical part | $1,258.93 | $1,288.25 | $1,412.54 |
United Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,949.84 Typical High $2,884.03 | Professional | None (both parts) | $1,000.00 | $1,949.84 | $2,884.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $371.54 Typical High $549.54 | Professional | 26 · Professional part | $234.42 | $371.54 | $549.54 |
United Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $1,548.82 Typical High $2,344.23 | Professional | TC · Technical part | $776.25 | $1,548.82 | $2,344.23 |
8 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 $501.19 Median $602.56 Typical High $602.56 | Professional | 52 · Reduced service | $501.19 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $239.88 Typical High $239.88 | Professional | 53 · Discontinued | $199.53 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $177.83 Typical High $177.83 | Professional | 55 · Aftercare only | $147.91 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $120.23 Typical High $120.23 | Professional | 56 · Pre-op care only | $100.00 | $120.23 | $120.23 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $512.86 Median $602.56 Typical High $602.56 | Professional | 52 · Reduced service | $512.86 | $602.56 | $602.56 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $239.88 Typical High $239.88 | Professional | 53 · Discontinued | $204.17 | $239.88 | $239.88 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $177.83 Typical High $177.83 | Professional | 55 · Aftercare only | $154.88 | $177.83 | $177.83 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $120.23 Typical High $120.23 | Professional | 56 · Pre-op care only | $102.33 | $120.23 | $120.23 |
Where Oregon sits
The same service costs 9.1 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· 5th of 51
$1,585
AK $2,188KY $240
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.