How much rates vary
Facilitymedian $339 · 10th to 90th $107 to $832Professionalmedian $363 · 10th to 90th $178 to $575
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 $354.81 Median $398.11 Typical High $575.44 | Facility | None | $354.81 | $398.11 | $575.44 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $269.15 Median $346.74 Typical High $1,412.54 | Facility | TC · Technical part | $269.15 | $346.74 | $1,412.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $371.54 Typical High $562.34 | Professional | None (both parts) | $194.98 | $371.54 | $562.34 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $85.11 Typical High $117.49 | Professional | 26 · Professional part | $54.95 | $85.11 | $117.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $281.84 Typical High $426.58 | Professional | TC · Technical part | $131.83 | $281.84 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $562.34 Typical High $562.34 | Facility | None | $128.82 | $562.34 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $186.21 Typical High $602.56 | Professional | None (both parts) | $177.83 | $186.21 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $57.54 Typical High $169.82 | Professional | 26 · Professional part | $54.95 | $57.54 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $134.90 Typical High $416.87 | Professional | TC · Technical part | $123.03 | $134.90 | $416.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $331.13 Median $380.19 Typical High $478.63 | Professional | None | $331.13 | $380.19 | $478.63 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $123.03 Typical High $144.54 | Professional | 26 · Professional part | $102.33 | $123.03 | $144.54 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $257.04 Typical High $331.13 | Professional | TC · Technical part | $223.87 | $257.04 | $331.13 |
Moda Health Setting Facility Modifier None Typical Low $269.15 Median $707.95 Typical High $1,995.26 | Facility | None | $269.15 | $707.95 | $1,995.26 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $269.15 Median $676.08 Typical High $1,412.54 | Facility | TC · Technical part | $269.15 | $676.08 | $1,412.54 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $190.55 Median $371.54 Typical High $616.60 | Professional | None (both parts) | $190.55 | $371.54 | $616.60 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $91.20 Typical High $223.87 | Professional | 26 · Professional part | $54.95 | $91.20 | $223.87 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $281.84 Typical High $446.68 | Professional | TC · Technical part | $144.54 | $281.84 | $446.68 |
Pacific Source Setting Facility Modifier None Typical Low $89.13 Median $229.09 Typical High $436.52 | Facility | None | $89.13 | $229.09 | $436.52 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $114.82 Median $162.18 Typical High $275.42 | Professional | None (both parts) | $114.82 | $162.18 | $275.42 |
Providence Setting Facility Modifier None Typical Low $371.54 Median $524.81 Typical High $724.44 | Facility | None | $371.54 | $524.81 | $724.44 |
Providence Setting Professional Modifier None (both parts) Typical Low $177.83 Median $398.11 Typical High $562.34 | Professional | None (both parts) | $177.83 | $398.11 | $562.34 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $112.20 Typical High $162.18 | Professional | 26 · Professional part | $54.95 | $112.20 | $162.18 |
Providence Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $295.12 Typical High $436.52 | Professional | TC · Technical part | $123.03 | $295.12 | $436.52 |
Regence BlueShield Setting Facility Modifier None Typical Low $524.81 Median $741.31 Typical High $851.14 | Facility | None | $524.81 | $741.31 | $851.14 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $316.23 Median $338.84 Typical High $501.19 | Professional | None (both parts) | $316.23 | $338.84 | $501.19 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $107.15 Typical High $151.36 | Professional | 26 · Professional part | $102.33 | $107.15 | $151.36 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $229.09 Typical High $346.74 | Professional | TC · Technical part | $218.78 | $229.09 | $346.74 |
United Setting Facility Modifier None Typical Low $562.34 Median $691.83 Typical High $870.96 | Facility | None | $562.34 | $691.83 | $870.96 |
United Setting Professional Modifier None (both parts) Typical Low $169.82 Median $363.08 Typical High $588.84 | Professional | None (both parts) | $169.82 | $363.08 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $109.65 Typical High $181.97 | Professional | 26 · Professional part | $53.70 | $109.65 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $251.19 Typical High $398.11 | Professional | TC · Technical part | $114.82 | $251.19 | $398.11 |
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 $87.10 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $87.10 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $34.67 | $74.13 | $74.13 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $85.11 | $186.21 | $186.21 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $33.88 | $74.13 | $74.13 |
Where Oregon sits
The same service costs 5.9 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· 11th of 51
$347
VT $741UT $126
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.