How much rates vary
Facilitymedian $263 · 10th to 90th $95 to $676Professionalmedian $295 · 10th to 90th $141 to $468
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 $275.42 Median $371.54 Typical High $524.81 | Facility | None | $275.42 | $371.54 | $524.81 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $199.53 Median $338.84 Typical High $1,412.54 | Facility | TC · Technical part | $199.53 | $338.84 | $1,412.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $281.84 Typical High $467.74 | Professional | None (both parts) | $151.36 | $281.84 | $467.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $79.43 Typical High $112.20 | Professional | 26 · Professional part | $45.71 | $79.43 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $223.87 Typical High $323.59 | Professional | TC · Technical part | $97.72 | $223.87 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $346.74 Typical High $346.74 | Facility | None | $95.50 | $346.74 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $147.91 Typical High $478.63 | Professional | None (both parts) | $141.25 | $147.91 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $52.48 Typical High $154.88 | Professional | 26 · Professional part | $50.12 | $52.48 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $107.15 Typical High $309.03 | Professional | TC · Technical part | $89.13 | $107.15 | $309.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $263.03 Median $302.00 Typical High $380.19 | Professional | None | $263.03 | $302.00 | $380.19 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $112.20 Typical High $134.90 | Professional | 26 · Professional part | $93.33 | $112.20 | $134.90 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $190.55 Typical High $245.47 | Professional | TC · Technical part | $165.96 | $190.55 | $245.47 |
Moda Health Setting Facility Modifier None Typical Low $218.78 Median $549.54 Typical High $1,862.09 | Facility | None | $218.78 | $549.54 | $1,862.09 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $173.78 Median $549.54 Typical High $1,412.54 | Facility | TC · Technical part | $173.78 | $549.54 | $1,412.54 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $151.36 Median $316.23 Typical High $512.86 | Professional | None (both parts) | $151.36 | $316.23 | $512.86 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $85.11 Typical High $169.82 | Professional | 26 · Professional part | $48.98 | $85.11 | $169.82 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $223.87 Typical High $380.19 | Professional | TC · Technical part | $97.72 | $223.87 | $380.19 |
Pacific Source Setting Facility Modifier None Typical Low $83.18 Median $177.83 Typical High $346.74 | Facility | None | $83.18 | $177.83 | $346.74 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $173.78 | Professional | None (both parts) | $107.15 | $107.15 | $173.78 |
Providence Setting Facility Modifier None Typical Low $346.74 Median $407.38 Typical High $575.44 | Facility | None | $346.74 | $407.38 | $575.44 |
Providence Setting Professional Modifier None (both parts) Typical Low $141.25 Median $316.23 Typical High $446.68 | Professional | None (both parts) | $141.25 | $316.23 | $446.68 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $97.72 Typical High $151.36 | Professional | 26 · Professional part | $50.12 | $97.72 | $151.36 |
Providence Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $223.87 Typical High $338.84 | Professional | TC · Technical part | $89.13 | $223.87 | $338.84 |
Regence BlueShield Setting Facility Modifier None Typical Low $309.03 Median $389.05 Typical High $501.19 | Facility | None | $309.03 | $389.05 | $501.19 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $251.19 Median $269.15 Typical High $398.11 | Professional | None (both parts) | $251.19 | $269.15 | $398.11 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $100.00 Typical High $141.25 | Professional | 26 · Professional part | $91.20 | $100.00 | $141.25 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $165.96 Typical High $257.04 | Professional | TC · Technical part | $158.49 | $165.96 | $257.04 |
United Setting Facility Modifier None Typical Low $331.13 Median $416.87 Typical High $512.86 | Facility | None | $331.13 | $416.87 | $512.86 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $295.12 Typical High $467.74 | Professional | None (both parts) | $138.04 | $295.12 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $100.00 Typical High $169.82 | Professional | 26 · Professional part | $46.77 | $100.00 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $194.98 Typical High $302.00 | Professional | TC · Technical part | $87.10 | $194.98 | $302.00 |
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 $69.18 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $69.18 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $27.54 | $74.13 | $74.13 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $67.61 | $186.21 | $186.21 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $26.92 | $74.13 | $74.13 |
Where Oregon sits
The same service costs 6.2 times more in Vermont 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· 12th of 51
$275
VT $617UT $100
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.