How much rates vary
Facilitymedian $380 · 10th to 90th $112 to $871Professionalmedian $501 · 10th to 90th $240 to $776
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 $489.78 Median $741.31 Typical High $851.14 | Facility | None | $489.78 | $741.31 | $851.14 |
Aetna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $524.81 Typical High $602.56 | Professional | None (both parts) | $309.03 | $524.81 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $104.71 Typical High $154.88 | Professional | 26 · Professional part | $77.62 | $104.71 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $371.54 Typical High $501.19 | Professional | TC · Technical part | $229.09 | $371.54 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $741.31 Typical High $741.31 | Facility | None | $190.55 | $741.31 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $281.84 Typical High $812.83 | Professional | None (both parts) | $239.88 | $281.84 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $66.07 Typical High $194.98 | Professional | 26 · Professional part | $63.10 | $66.07 | $194.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $223.87 Typical High $630.96 | Professional | TC · Technical part | $177.83 | $223.87 | $630.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $446.68 Median $512.86 Typical High $645.65 | Professional | None | $446.68 | $512.86 | $645.65 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $141.25 Typical High $165.96 | Professional | 26 · Professional part | $117.49 | $141.25 | $165.96 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $380.19 Typical High $478.63 | Professional | TC · Technical part | $323.59 | $380.19 | $478.63 |
Moda Health Setting Facility Modifier None Typical Low $371.54 Median $741.31 Typical High $1,122.02 | Facility | None | $371.54 | $741.31 | $1,122.02 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $371.54 Median $575.44 Typical High $776.25 | Professional | None (both parts) | $371.54 | $575.44 | $776.25 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $112.20 Typical High $190.55 | Professional | 26 · Professional part | $95.50 | $112.20 | $190.55 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $371.54 Typical High $524.81 | Professional | TC · Technical part | $269.15 | $371.54 | $524.81 |
Pacific Source Setting Facility Modifier None Typical Low $104.71 Median $338.84 Typical High $676.08 | Facility | None | $104.71 | $338.84 | $676.08 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $134.90 Median $158.49 Typical High $407.38 | Professional | None (both parts) | $134.90 | $158.49 | $407.38 |
Providence Setting Facility Modifier None Typical Low $602.56 Median $741.31 Typical High $1,122.02 | Facility | None | $602.56 | $741.31 | $1,122.02 |
Providence Setting Professional Modifier None (both parts) Typical Low $239.88 Median $562.34 Typical High $831.76 | Professional | None (both parts) | $239.88 | $562.34 | $831.76 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $125.89 Typical High $186.21 | Professional | 26 · Professional part | $63.10 | $125.89 | $186.21 |
Providence Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $446.68 Typical High $691.83 | Professional | TC · Technical part | $177.83 | $446.68 | $691.83 |
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 $691.83 | Professional | None (both parts) | $436.52 | $457.09 | $691.83 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $123.03 Typical High $173.78 | Professional | 26 · Professional part | $117.49 | $123.03 | $173.78 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $331.13 Typical High $501.19 | Professional | TC · Technical part | $316.23 | $331.13 | $501.19 |
United Setting Facility Modifier None Typical Low $758.58 Median $954.99 Typical High $1,174.90 | Facility | None | $758.58 | $954.99 | $1,174.90 |
United Setting Professional Modifier None (both parts) Typical Low $223.87 Median $489.78 Typical High $794.33 | Professional | None (both parts) | $223.87 | $489.78 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $117.49 Typical High $199.53 | Professional | 26 · Professional part | $58.88 | $117.49 | $199.53 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $371.54 Typical High $588.84 | Professional | TC · Technical part | $165.96 | $371.54 | $588.84 |
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 $154.88 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $154.88 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $61.66 | $120.23 | $120.23 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $154.88 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $154.88 | $302.00 | $302.00 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $61.66 | $120.23 | $120.23 |
Where Oregon sits
The same service costs 5.8 times more in Wyoming 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· 17th of 51
$479
WY $912UT $158
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.