How much rates vary
Facilitymedian $363 · 10th to 90th $135 to $1,023Professionalmedian $479 · 10th to 90th $204 to $759
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 $416.87 Median $616.60 Typical High $851.14 | Facility | None | $416.87 | $616.60 | $851.14 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $288.40 Median $616.60 Typical High $2,511.89 | Facility | TC · Technical part | $288.40 | $616.60 | $2,511.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $524.81 Typical High $724.44 | Professional | None (both parts) | $245.47 | $524.81 | $724.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $109.65 Typical High $177.83 | Professional | 26 · Professional part | $79.43 | $109.65 | $177.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $371.54 Typical High $512.86 | Professional | TC · Technical part | $147.91 | $371.54 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $741.31 Typical High $741.31 | Facility | None | $144.54 | $741.31 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $234.42 Typical High $707.95 | Professional | None (both parts) | $204.17 | $234.42 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $72.44 Typical High $213.80 | Professional | 26 · Professional part | $69.18 | $72.44 | $213.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $154.88 Typical High $501.19 | Professional | TC · Technical part | $131.83 | $154.88 | $501.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $380.19 Median $436.52 Typical High $549.54 | Professional | None | $380.19 | $436.52 | $549.54 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $154.88 Typical High $186.21 | Professional | 26 · Professional part | $131.83 | $154.88 | $186.21 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $281.84 Typical High $363.08 | Professional | TC · Technical part | $245.47 | $281.84 | $363.08 |
Moda Health Setting Facility Modifier None Typical Low $316.23 Median $954.99 Typical High $2,398.83 | Facility | None | $316.23 | $954.99 | $2,398.83 |
Moda Health Setting Facility Modifier 26 · Professional part Typical Low $75.86 Median $128.82 Typical High $162.18 | Facility | 26 · Professional part | $75.86 | $128.82 | $162.18 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $257.04 Median $1,000.00 Typical High $2,511.89 | Facility | TC · Technical part | $257.04 | $1,000.00 | $2,511.89 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $229.09 Median $575.44 Typical High $1,071.52 | Professional | None (both parts) | $229.09 | $575.44 | $1,071.52 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $134.90 Typical High $288.40 | Professional | 26 · Professional part | $72.44 | $134.90 | $288.40 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $338.84 Typical High $630.96 | Professional | TC · Technical part | $144.54 | $338.84 | $630.96 |
Pacific Source Setting Facility Modifier None Typical Low $117.49 Median $251.19 Typical High $512.86 | Facility | None | $117.49 | $251.19 | $512.86 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $114.82 Median $177.83 Typical High $257.04 | Professional | None (both parts) | $114.82 | $177.83 | $257.04 |
Providence Setting Facility Modifier None Typical Low $512.86 Median $602.56 Typical High $1,023.29 | Facility | None | $512.86 | $602.56 | $1,023.29 |
Providence Setting Professional Modifier None (both parts) Typical Low $204.17 Median $446.68 Typical High $741.31 | Professional | None (both parts) | $204.17 | $446.68 | $741.31 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $138.04 Typical High $204.17 | Professional | 26 · Professional part | $69.18 | $138.04 | $204.17 |
Providence Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $302.00 Typical High $645.65 | Professional | TC · Technical part | $131.83 | $302.00 | $645.65 |
Regence BlueShield Setting Facility Modifier None Typical Low $691.83 Median $851.14 Typical High $1,047.13 | Facility | None | $691.83 | $851.14 | $1,047.13 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $363.08 Median $389.05 Typical High $588.84 | Professional | None (both parts) | $363.08 | $389.05 | $588.84 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $134.90 Typical High $194.98 | Professional | 26 · Professional part | $128.82 | $134.90 | $194.98 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $251.19 Typical High $380.19 | Professional | TC · Technical part | $234.42 | $251.19 | $380.19 |
United Setting Facility Modifier None Typical Low $758.58 Median $954.99 Typical High $1,174.90 | Facility | None | $758.58 | $954.99 | $1,174.90 |
United Setting Professional Modifier None (both parts) Typical Low $186.21 Median $426.58 Typical High $676.08 | Professional | None (both parts) | $186.21 | $426.58 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $128.82 Typical High $223.87 | Professional | 26 · Professional part | $64.57 | $128.82 | $223.87 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $288.40 Typical High $426.58 | Professional | TC · Technical part | $123.03 | $288.40 | $426.58 |
5 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 $125.89 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $125.89 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $51.29 | $120.23 | $120.23 |
Moda Health Setting Facility Modifier ME · Imaging: follows guidelines Typical Low $389.05 Median $933.25 Typical High $1,905.46 | Facility | ME · Imaging: follows guidelines | $389.05 | $933.25 | $1,905.46 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $125.89 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $125.89 | $302.00 | $302.00 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $51.29 | $120.23 | $120.23 |
Where Oregon sits
The same service costs 24.0 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· 13th of 51
$427
VT $2,951UT $123
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.