How much rates vary
Facilitymedian $447 · 10th to 90th $141 to $1,148Professionalmedian $589 · 10th to 90th $282 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 TC · Technical part Typical Low $1,949.84 Median $1,949.84 Typical High $2,511.89 | Facility | TC · Technical part | $1,949.84 | $1,949.84 | $2,511.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $524.81 Typical High $602.56 | Professional | None (both parts) | $363.08 | $524.81 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $104.71 Typical High $147.91 | Professional | 26 · Professional part | $100.00 | $104.71 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $371.54 Typical High $501.19 | Professional | TC · Technical part | $257.04 | $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 $281.84 Median $323.59 Typical High $977.24 | Professional | None (both parts) | $281.84 | $323.59 | $977.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $85.11 Typical High $245.47 | Professional | 26 · Professional part | $81.28 | $85.11 | $245.47 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $251.19 Typical High $707.95 | Professional | TC · Technical part | $204.17 | $251.19 | $707.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $537.03 Median $616.60 Typical High $758.58 | Professional | None | $537.03 | $616.60 | $758.58 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $181.97 Typical High $213.80 | Professional | 26 · Professional part | $151.36 | $181.97 | $213.80 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $436.52 Typical High $549.54 | Professional | TC · Technical part | $380.19 | $436.52 | $549.54 |
Moda Health Setting Facility Modifier None Typical Low $602.56 Median $1,000.00 Typical High $1,318.26 | Facility | None | $602.56 | $1,000.00 | $1,318.26 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $446.68 Median $602.56 Typical High $870.96 | Professional | None (both parts) | $446.68 | $602.56 | $870.96 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $134.90 Typical High $213.80 | Professional | 26 · Professional part | $104.71 | $134.90 | $213.80 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $416.87 Typical High $575.44 | Professional | TC · Technical part | $309.03 | $416.87 | $575.44 |
Pacific Source Setting Facility Modifier None Typical Low $131.83 Median $380.19 Typical High $776.25 | Facility | None | $131.83 | $380.19 | $776.25 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $165.96 Median $194.98 Typical High $467.74 | Professional | None (both parts) | $165.96 | $194.98 | $467.74 |
Providence Setting Facility Modifier None Typical Low $602.56 Median $870.96 Typical High $1,318.26 | Facility | None | $602.56 | $870.96 | $1,318.26 |
Providence Setting Professional Modifier None (both parts) Typical Low $281.84 Median $676.08 Typical High $977.24 | Professional | None (both parts) | $281.84 | $676.08 | $977.24 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $158.49 Typical High $239.88 | Professional | 26 · Professional part | $81.28 | $158.49 | $239.88 |
Providence Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $501.19 Typical High $794.33 | Professional | TC · Technical part | $204.17 | $501.19 | $794.33 |
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 $512.86 Median $537.03 Typical High $831.76 | Professional | None (both parts) | $512.86 | $537.03 | $831.76 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $158.49 Typical High $223.87 | Professional | 26 · Professional part | $151.36 | $158.49 | $223.87 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $380.19 Typical High $588.84 | Professional | TC · Technical part | $363.08 | $380.19 | $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 $269.15 Median $588.84 Typical High $933.25 | Professional | None (both parts) | $269.15 | $588.84 | $933.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $151.36 Typical High $263.03 | Professional | 26 · Professional part | $75.86 | $151.36 | $263.03 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $436.52 Typical High $707.95 | Professional | TC · Technical part | $190.55 | $436.52 | $707.95 |
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 $181.97 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $181.97 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $72.44 | $120.23 | $120.23 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $181.97 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $181.97 | $302.00 | $302.00 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $72.44 | $120.23 | $120.23 |
Where Oregon sits
The same service costs 5.6 times more in Wyoming than in Texas. 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· 17th of 51
$537
WY $1,072TX $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.