How much rates vary
Facilitymedian $646 · 10th to 90th $162 to $1,622Professionalmedian $692 · 10th to 90th $372 to $1,259
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 $741.31 Median $741.31 Typical High $812.83 | Facility | None | $741.31 | $741.31 | $812.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $602.56 Typical High $812.83 | Professional | None (both parts) | $436.52 | $602.56 | $812.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $131.83 Typical High $199.53 | Professional | 26 · Professional part | $104.71 | $131.83 | $199.53 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $501.19 Typical High $616.60 | Professional | TC · Technical part | $309.03 | $501.19 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $1,174.90 Typical High $1,174.90 | Facility | None | $302.00 | $1,174.90 | $1,174.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $457.09 Typical High $1,348.96 | Professional | None (both parts) | $371.54 | $457.09 | $1,348.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $87.10 Typical High $257.04 | Professional | 26 · Professional part | $83.18 | $87.10 | $257.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $371.54 Typical High $1,122.02 | Professional | TC · Technical part | $281.84 | $371.54 | $1,122.02 |
Kaiser Permanente Setting Professional Modifier None Typical Low $691.83 Median $794.33 Typical High $977.24 | Professional | None | $691.83 | $794.33 | $977.24 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $190.55 Typical High $223.87 | Professional | 26 · Professional part | $158.49 | $190.55 | $223.87 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $602.56 Typical High $758.58 | Professional | TC · Technical part | $524.81 | $602.56 | $758.58 |
Moda Health Setting Facility Modifier None Typical Low $602.56 Median $1,819.70 Typical High $3,311.31 | Facility | None | $602.56 | $1,819.70 | $3,311.31 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $616.60 Median $2,951.21 Typical High $3,388.44 | Facility | TC · Technical part | $616.60 | $2,951.21 | $3,388.44 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $478.63 Median $602.56 Typical High $1,258.93 | Professional | None (both parts) | $478.63 | $602.56 | $1,258.93 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $147.91 Typical High $295.12 | Professional | 26 · Professional part | $104.71 | $147.91 | $295.12 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $501.19 Typical High $794.33 | Professional | TC · Technical part | $338.84 | $501.19 | $794.33 |
Pacific Source Setting Facility Modifier None Typical Low $138.04 Median $524.81 Typical High $1,148.15 | Facility | None | $138.04 | $524.81 | $1,148.15 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $177.83 Median $204.17 Typical High $549.54 | Professional | None (both parts) | $177.83 | $204.17 | $549.54 |
Providence Setting Facility Modifier None Typical Low $602.56 Median $1,071.52 Typical High $1,862.09 | Facility | None | $602.56 | $1,071.52 | $1,862.09 |
Providence Setting Professional Modifier None (both parts) Typical Low $371.54 Median $891.25 Typical High $1,412.54 | Professional | None (both parts) | $371.54 | $891.25 | $1,412.54 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $165.96 Typical High $251.19 | Professional | 26 · Professional part | $83.18 | $165.96 | $251.19 |
Providence Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $724.44 Typical High $1,258.93 | Professional | TC · Technical part | $281.84 | $724.44 | $1,258.93 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,071.52 Median $1,479.11 Typical High $1,698.24 | Facility | None | $1,071.52 | $1,479.11 | $1,698.24 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $660.69 Median $691.83 Typical High $1,071.52 | Professional | None (both parts) | $660.69 | $691.83 | $1,071.52 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $165.96 Typical High $234.42 | Professional | 26 · Professional part | $154.88 | $165.96 | $234.42 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $537.03 Typical High $812.83 | Professional | TC · Technical part | $501.19 | $537.03 | $812.83 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,380.38 Typical High $1,737.80 | Facility | None | $1,096.48 | $1,380.38 | $1,737.80 |
United Setting Professional Modifier None (both parts) Typical Low $338.84 Median $776.25 Typical High $1,258.93 | Professional | None (both parts) | $338.84 | $776.25 | $1,258.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $154.88 Typical High $275.42 | Professional | 26 · Professional part | $77.62 | $154.88 | $275.42 |
United Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $602.56 Typical High $1,047.13 | Professional | TC · Technical part | $257.04 | $602.56 | $1,047.13 |
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 $218.78 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $218.78 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $87.10 | $120.23 | $120.23 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $218.78 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $218.78 | $302.00 | $302.00 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $87.10 | $120.23 | $120.23 |
Where Oregon sits
The same service costs 5.6 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
$692
WY $1,380UT $245
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.