How much rates vary
Facilitymedian $447 · 10th to 90th $162 to $1,175Professionalmedian $589 · 10th to 90th $295 to $912
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 $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $524.81 Typical High $602.56 | Professional | None (both parts) | $316.23 | $524.81 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $109.65 Typical High $154.88 | Professional | 26 · Professional part | $91.20 | $109.65 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $371.54 Typical High $501.19 | Professional | TC · Technical part | $223.87 | $371.54 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $1,174.90 Typical High $1,174.90 | Facility | None | $223.87 | $1,174.90 | $1,174.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $316.23 Typical High $1,000.00 | Professional | None (both parts) | $295.12 | $316.23 | $1,000.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $89.13 Typical High $257.04 | Professional | 26 · Professional part | $83.18 | $89.13 | $257.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $245.47 Typical High $724.44 | Professional | TC · Technical part | $208.93 | $245.47 | $724.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $549.54 Median $630.96 Typical High $776.25 | Professional | None | $549.54 | $630.96 | $776.25 |
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 $380.19 Median $446.68 Typical High $562.34 | Professional | TC · Technical part | $380.19 | $446.68 | $562.34 |
Moda Health Setting Facility Modifier None Typical Low $457.09 Median $741.31 Typical High $1,258.93 | Facility | None | $457.09 | $741.31 | $1,258.93 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $398.11 Median $602.56 Typical High $891.25 | Professional | None (both parts) | $398.11 | $602.56 | $891.25 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $141.25 Typical High $234.42 | Professional | 26 · Professional part | $104.71 | $141.25 | $234.42 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $416.87 Typical High $616.60 | Professional | TC · Technical part | $269.15 | $416.87 | $616.60 |
Pacific Source Setting Facility Modifier None Typical Low $138.04 Median $389.05 Typical High $660.69 | Facility | None | $138.04 | $389.05 | $660.69 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $398.11 | Professional | None (both parts) | $177.83 | $177.83 | $398.11 |
Providence Setting Facility Modifier None Typical Low $602.56 Median $831.76 Typical High $1,348.96 | Facility | None | $602.56 | $831.76 | $1,348.96 |
Providence Setting Professional Modifier None (both parts) Typical Low $295.12 Median $630.96 Typical High $1,000.00 | Professional | None (both parts) | $295.12 | $630.96 | $1,000.00 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $173.78 Typical High $251.19 | Professional | 26 · Professional part | $83.18 | $173.78 | $251.19 |
Providence Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $478.63 Typical High $812.83 | Professional | TC · Technical part | $208.93 | $478.63 | $812.83 |
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 $524.81 Median $549.54 Typical High $851.14 | Professional | None (both parts) | $524.81 | $549.54 | $851.14 |
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 $371.54 Median $389.05 Typical High $588.84 | Professional | TC · Technical part | $371.54 | $389.05 | $588.84 |
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 $275.42 Median $588.84 Typical High $954.99 | Professional | None (both parts) | $275.42 | $588.84 | $954.99 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $154.88 Typical High $269.15 | Professional | 26 · Professional part | $77.62 | $154.88 | $269.15 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $446.68 Typical High $676.08 | Professional | TC · Technical part | $194.98 | $446.68 | $676.08 |
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 $186.21 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $186.21 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $74.13 | $120.23 | $120.23 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $186.21 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $186.21 | $302.00 | $302.00 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $74.13 | $120.23 | $120.23 |
Where Oregon sits
The same service costs 5.9 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· 16th of 51
$550
WY $1,122UT $191
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.