How much rates vary
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 TC · Technical part Typical Low $1,949.84 Median $1,949.84 Typical High $2,511.89 | Facility | TC · Technical part | $1,949.84 | $1,949.84 | $2,511.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $524.81 Median $602.56 Typical High $707.95 | Professional | None (both parts) | $524.81 | $602.56 | $707.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $104.71 Typical High $186.21 | Professional | 26 · Professional part | $104.71 | $104.71 | $186.21 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $501.19 Typical High $588.84 | Professional | TC · Technical part | $467.74 | $501.19 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $1,348.96 Median $1,698.24 Typical High $1,698.24 | Facility | None | $1,348.96 | $1,698.24 | $1,698.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,737.80 Median $2,511.89 Typical High $4,168.69 | Professional | None (both parts) | $1,737.80 | $2,511.89 | $4,168.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $269.15 Typical High $457.09 | Professional | 26 · Professional part | $190.55 | $269.15 | $457.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,584.89 Median $2,238.72 Typical High $3,715.35 | Professional | TC · Technical part | $1,584.89 | $2,238.72 | $3,715.35 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,754.23 Median $3,162.28 Typical High $3,981.07 | Professional | None | $2,754.23 | $3,162.28 | $3,981.07 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $354.81 Typical High $426.58 | Professional | 26 · Professional part | $295.12 | $354.81 | $426.58 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $2,454.71 Median $2,818.38 Typical High $3,548.13 | Professional | TC · Technical part | $2,454.71 | $2,818.38 | $3,548.13 |
Moda Health Setting Facility Modifier None Typical Low $363.08 Median $602.56 Typical High $3,235.94 | Facility | None | $363.08 | $602.56 | $3,235.94 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $537.03 Median $602.56 Typical High $707.95 | Professional | None (both parts) | $537.03 | $602.56 | $707.95 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $208.93 Typical High $407.38 | Professional | 26 · Professional part | $104.71 | $208.93 | $407.38 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $489.78 Median $501.19 Typical High $588.84 | Professional | TC · Technical part | $489.78 | $501.19 | $588.84 |
Pacific Source Setting Facility Modifier None Typical Low $239.88 Median $1,202.26 Typical High $2,630.27 | Facility | None | $239.88 | $1,202.26 | $2,630.27 |
Providence Setting Facility Modifier None Typical Low $363.08 Median $870.96 Typical High $3,235.94 | Facility | None | $363.08 | $870.96 | $3,235.94 |
Providence Setting Professional Modifier None (both parts) Typical Low $2,089.30 Median $2,884.03 Typical High $4,168.69 | Professional | None (both parts) | $2,089.30 | $2,884.03 | $4,168.69 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $309.03 Typical High $436.52 | Professional | 26 · Professional part | $218.78 | $309.03 | $436.52 |
Providence Setting Professional Modifier TC · Technical part Typical Low $1,862.09 Median $2,630.27 Typical High $3,715.35 | Professional | TC · Technical part | $1,862.09 | $2,630.27 | $3,715.35 |
Regence BlueShield Setting Facility Modifier None Typical Low $776.25 Median $1,737.80 Typical High $2,187.76 | Facility | None | $776.25 | $1,737.80 | $2,187.76 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $2,511.89 Median $2,691.53 Typical High $3,801.89 | Professional | None (both parts) | $2,511.89 | $2,691.53 | $3,801.89 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $295.12 Typical High $416.87 | Professional | 26 · Professional part | $281.84 | $295.12 | $416.87 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $2,238.72 Median $2,398.83 Typical High $3,388.44 | Professional | TC · Technical part | $2,238.72 | $2,398.83 | $3,388.44 |
United Setting Facility Modifier None Typical Low $1,737.80 Median $2,187.76 Typical High $2,691.53 | Facility | None | $1,737.80 | $2,187.76 | $2,691.53 |
United Setting Professional Modifier None (both parts) Typical Low $416.87 Median $933.25 Typical High $2,041.74 | Professional | None (both parts) | $416.87 | $933.25 | $2,041.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $275.42 Typical High $489.78 | Professional | 26 · Professional part | $134.90 | $275.42 | $489.78 |
United Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $602.56 Typical High $1,621.81 | Professional | TC · Technical part | $281.84 | $602.56 | $1,621.81 |
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 $263.03 Median $302.00 Typical High $331.13 | Professional | 52 · Reduced service | $263.03 | $302.00 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $120.23 Typical High $131.83 | Professional | 53 · Discontinued | $104.71 | $120.23 | $131.83 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $269.15 Median $302.00 Typical High $331.13 | Professional | 52 · Reduced service | $269.15 | $302.00 | $331.13 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $120.23 Typical High $131.83 | Professional | 53 · Discontinued | $107.15 | $120.23 | $131.83 |
Where Oregon sits
The same service costs 12.3 times more in Wyoming than in Hawaii. 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· 3rd of 51
$2,089
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.