How much rates vary
Facilitymedian $603 · 10th to 90th $209 to $1,622Professionalmedian $646 · 10th to 90th $339 to $1,096
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 $602.56 Median $741.31 Typical High $1,047.13 | Facility | None | $602.56 | $741.31 | $1,047.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $602.56 Typical High $851.14 | Professional | None (both parts) | $407.38 | $602.56 | $851.14 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $141.25 Typical High $229.09 | Professional | 26 · Professional part | $104.71 | $141.25 | $229.09 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $478.63 Typical High $602.56 | Professional | TC · Technical part | $269.15 | $478.63 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $1,174.90 Typical High $1,174.90 | Facility | None | $251.19 | $1,174.90 | $1,174.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $380.19 Typical High $1,148.15 | Professional | None (both parts) | $338.84 | $380.19 | $1,148.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $112.20 Typical High $331.13 | Professional | 26 · Professional part | $107.15 | $112.20 | $331.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $275.42 Typical High $831.76 | Professional | TC · Technical part | $229.09 | $275.42 | $831.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $630.96 Median $724.44 Typical High $912.01 | Professional | None | $630.96 | $724.44 | $912.01 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $239.88 Typical High $288.40 | Professional | 26 · Professional part | $199.53 | $239.88 | $288.40 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $489.78 Typical High $616.60 | Professional | TC · Technical part | $426.58 | $489.78 | $616.60 |
Moda Health Setting Facility Modifier None Typical Low $512.86 Median $1,479.11 Typical High $3,801.89 | Facility | None | $512.86 | $1,479.11 | $3,801.89 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $501.19 Median $1,023.29 Typical High $3,090.30 | Facility | TC · Technical part | $501.19 | $1,023.29 | $3,090.30 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $446.68 Median $602.56 Typical High $1,122.02 | Professional | None (both parts) | $446.68 | $602.56 | $1,122.02 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $177.83 Typical High $354.81 | Professional | 26 · Professional part | $104.71 | $177.83 | $354.81 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $489.78 Typical High $724.44 | Professional | TC · Technical part | $302.00 | $489.78 | $724.44 |
Pacific Source Setting Facility Modifier None Typical Low $177.83 Median $426.58 Typical High $954.99 | Facility | None | $177.83 | $426.58 | $954.99 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $229.09 Median $269.15 Typical High $524.81 | Professional | None (both parts) | $229.09 | $269.15 | $524.81 |
Providence Setting Facility Modifier None Typical Low $602.56 Median $954.99 Typical High $1,548.82 | Facility | None | $602.56 | $954.99 | $1,548.82 |
Providence Setting Professional Modifier None (both parts) Typical Low $338.84 Median $741.31 Typical High $1,148.15 | Professional | None (both parts) | $338.84 | $741.31 | $1,148.15 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $218.78 Typical High $323.59 | Professional | 26 · Professional part | $107.15 | $218.78 | $323.59 |
Providence Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $537.03 Typical High $933.25 | Professional | TC · Technical part | $229.09 | $537.03 | $933.25 |
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 $616.60 Median $645.65 Typical High $977.24 | Professional | None (both parts) | $616.60 | $645.65 | $977.24 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $208.93 Typical High $302.00 | Professional | 26 · Professional part | $199.53 | $208.93 | $302.00 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $436.52 Typical High $660.69 | Professional | TC · Technical part | $407.38 | $436.52 | $660.69 |
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 $316.23 Median $707.95 Typical High $1,122.02 | Professional | None (both parts) | $316.23 | $707.95 | $1,122.02 |
United Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $199.53 Typical High $346.74 | Professional | 26 · Professional part | $100.00 | $199.53 | $346.74 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $501.19 Typical High $741.31 | Professional | TC · Technical part | $218.78 | $501.19 | $741.31 |
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 $204.17 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $204.17 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $81.28 | $120.23 | $120.23 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $204.17 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $204.17 | $302.00 | $302.00 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $81.28 | $120.23 | $120.23 |
Where Oregon sits
The same service costs 6.3 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· 12th of 51
$631
WY $1,288UT $204
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.