How much rates vary
Facilitymedian $245 · 10th to 90th $126 to $457Professionalmedian $407 · 10th to 90th $257 to $661
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 $3,235.94 Median $5,011.87 Typical High $7,943.28 | Facility | None | $3,235.94 | $5,011.87 | $7,943.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $309.03 Typical High $354.81 | Professional | None (both parts) | $218.78 | $309.03 | $354.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $97.72 Typical High $120.23 | Professional | 26 · Professional part | $77.62 | $97.72 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $213.80 Typical High $245.47 | Professional | TC · Technical part | $141.25 | $213.80 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $251.19 Typical High $660.69 | Facility | None | $199.53 | $251.19 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $380.19 Typical High $660.69 | Professional | None (both parts) | $281.84 | $380.19 | $660.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $134.90 Typical High $208.93 | Professional | 26 · Professional part | $104.71 | $134.90 | $208.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $263.03 Typical High $446.68 | Professional | TC · Technical part | $194.98 | $263.03 | $446.68 |
Kaiser Permanente Setting Professional Modifier None Typical Low $380.19 Median $436.52 Typical High $537.03 | Professional | None | $380.19 | $436.52 | $537.03 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $165.96 Typical High $199.53 | Professional | 26 · Professional part | $141.25 | $165.96 | $199.53 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $269.15 Typical High $346.74 | Professional | TC · Technical part | $234.42 | $269.15 | $346.74 |
Moda Health Setting Facility Modifier None Typical Low $446.68 Median $501.19 Typical High $7,943.28 | Facility | None | $446.68 | $501.19 | $7,943.28 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $234.42 Median $316.23 Typical High $537.03 | Professional | None (both parts) | $234.42 | $316.23 | $537.03 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $104.71 Typical High $194.98 | Professional | 26 · Professional part | $79.43 | $104.71 | $194.98 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $213.80 Typical High $346.74 | Professional | TC · Technical part | $158.49 | $213.80 | $346.74 |
Pacific Source Setting Facility Modifier None Typical Low $123.03 Median $223.87 Typical High $407.38 | Facility | None | $123.03 | $223.87 | $407.38 |
Providence Setting Facility Modifier None Typical Low $204.17 Median $295.12 Typical High $707.95 | Facility | None | $204.17 | $295.12 | $707.95 |
Providence Setting Professional Modifier None (both parts) Typical Low $309.03 Median $436.52 Typical High $676.08 | Professional | None (both parts) | $309.03 | $436.52 | $676.08 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $147.91 Typical High $218.78 | Professional | 26 · Professional part | $107.15 | $147.91 | $218.78 |
Providence Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $251.19 Typical High $446.68 | Professional | TC · Technical part | $169.82 | $251.19 | $446.68 |
Regence BlueShield Setting Facility Modifier None Typical Low $691.83 Median $851.14 Typical High $1,047.13 | Facility | None | $691.83 | $851.14 | $1,047.13 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $436.52 Median $457.09 Typical High $676.08 | Professional | None (both parts) | $436.52 | $457.09 | $676.08 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $151.36 Typical High $223.87 | Professional | 26 · Professional part | $141.25 | $151.36 | $223.87 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $309.03 Typical High $426.58 | Professional | TC · Technical part | $295.12 | $309.03 | $426.58 |
United Setting Facility Modifier None Typical Low $151.36 Median $295.12 Typical High $4,897.79 | Facility | None | $151.36 | $295.12 | $4,897.79 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $407.38 Typical High $707.95 | Professional | None (both parts) | $316.23 | $407.38 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $162.18 Typical High $257.04 | Professional | 26 · Professional part | $112.20 | $162.18 | $257.04 |
United Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $257.04 Typical High $457.09 | Professional | TC · Technical part | $199.53 | $257.04 | $457.09 |
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 $141.25 Median $154.88 Typical High $154.88 | Professional | 52 · Reduced service | $141.25 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $61.66 Typical High $61.66 | Professional | 53 · Discontinued | $56.23 | $61.66 | $61.66 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | 52 · Reduced service | $154.88 | $154.88 | $154.88 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | 53 · Discontinued | $61.66 | $61.66 | $61.66 |
Where Oregon sits
The same service costs 5.2 times more in Wisconsin than in Utah. 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· 19th of 51
$309
WI $708UT $135
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.