How much rates vary
Facilitymedian $468 · 10th to 90th $170 to $1,096Professionalmedian $537 · 10th to 90th $302 to $891
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 $371.54 Median $524.81 Typical High $724.44 | Facility | None | $371.54 | $524.81 | $724.44 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $281.84 Median $426.58 Typical High $1,412.54 | Facility | TC · Technical part | $281.84 | $426.58 | $1,412.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $389.05 Typical High $741.31 | Professional | None (both parts) | $323.59 | $389.05 | $741.31 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $91.20 Typical High $177.83 | Professional | 26 · Professional part | $85.11 | $91.20 | $177.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $309.03 Typical High $562.34 | Professional | TC · Technical part | $218.78 | $309.03 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $562.34 Typical High $562.34 | Facility | None | $229.09 | $562.34 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $316.23 Typical High $954.99 | Professional | None (both parts) | $302.00 | $316.23 | $954.99 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $89.13 Typical High $263.03 | Professional | 26 · Professional part | $85.11 | $89.13 | $263.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $223.87 Typical High $741.31 | Professional | TC · Technical part | $213.80 | $223.87 | $741.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $562.34 Median $645.65 Typical High $794.33 | Professional | None | $562.34 | $645.65 | $794.33 |
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 $389.05 Median $457.09 Typical High $575.44 | Professional | TC · Technical part | $389.05 | $457.09 | $575.44 |
Moda Health Setting Facility Modifier None Typical Low $407.38 Median $954.99 Typical High $2,511.89 | Facility | None | $407.38 | $954.99 | $2,511.89 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $346.74 Median $831.76 Typical High $2,570.40 | Facility | TC · Technical part | $346.74 | $831.76 | $2,570.40 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $323.59 Median $478.63 Typical High $933.25 | Professional | None (both parts) | $323.59 | $478.63 | $933.25 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $112.20 Typical High $295.12 | Professional | 26 · Professional part | $85.11 | $112.20 | $295.12 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $363.08 Typical High $645.65 | Professional | TC · Technical part | $234.42 | $363.08 | $645.65 |
Pacific Source Setting Facility Modifier None Typical Low $141.25 Median $398.11 Typical High $588.84 | Facility | None | $141.25 | $398.11 | $588.84 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $407.38 | Professional | None (both parts) | $181.97 | $181.97 | $407.38 |
Providence Setting Facility Modifier None Typical Low $371.54 Median $776.25 Typical High $1,096.48 | Facility | None | $371.54 | $776.25 | $1,096.48 |
Providence Setting Professional Modifier None (both parts) Typical Low $302.00 Median $630.96 Typical High $912.01 | Professional | None (both parts) | $302.00 | $630.96 | $912.01 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $173.78 Typical High $251.19 | Professional | 26 · Professional part | $85.11 | $173.78 | $251.19 |
Providence Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $446.68 Typical High $741.31 | Professional | TC · Technical part | $213.80 | $446.68 | $741.31 |
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 $537.03 Median $562.34 Typical High $794.33 | Professional | None (both parts) | $537.03 | $562.34 | $794.33 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $165.96 Typical High $239.88 | Professional | 26 · Professional part | $158.49 | $165.96 | $239.88 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $398.11 Typical High $575.44 | Professional | TC · Technical part | $380.19 | $398.11 | $575.44 |
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 $263.03 Median $562.34 Typical High $977.24 | Professional | None (both parts) | $263.03 | $562.34 | $977.24 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $158.49 Typical High $275.42 | Professional | 26 · Professional part | $79.43 | $158.49 | $275.42 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $398.11 Typical High $691.83 | Professional | TC · Technical part | $181.97 | $398.11 | $691.83 |
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 $138.04 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $138.04 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $54.95 | $74.13 | $74.13 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $128.82 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $128.82 | $186.21 | $186.21 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $51.29 | $74.13 | $74.13 |
Where Oregon sits
The same service costs 12.3 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
$525
VT $2,089UT $170
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.