How much rates vary
Facilitymedian $676 · 10th to 90th $204 to $1,549Professionalmedian $676 · 10th to 90th $355 to $1,175
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 $1,202.26 | Facility | None | $602.56 | $741.31 | $1,202.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $602.56 Typical High $933.25 | Professional | None (both parts) | $416.87 | $602.56 | $933.25 |
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 $288.40 Median $489.78 Typical High $660.69 | Professional | TC · Technical part | $288.40 | $489.78 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $1,174.90 Typical High $1,174.90 | Facility | None | $275.42 | $1,174.90 | $1,174.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $398.11 Typical High $1,230.27 | Professional | None (both parts) | $354.81 | $398.11 | $1,230.27 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $107.15 Typical High $316.23 | Professional | 26 · Professional part | $102.33 | $107.15 | $316.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $309.03 Typical High $912.01 | Professional | TC · Technical part | $251.19 | $309.03 | $912.01 |
Kaiser Permanente Setting Professional Modifier None Typical Low $660.69 Median $776.25 Typical High $954.99 | Professional | None | $660.69 | $776.25 | $954.99 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $229.09 Typical High $275.42 | Professional | 26 · Professional part | $194.98 | $229.09 | $275.42 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $549.54 Typical High $676.08 | Professional | TC · Technical part | $467.74 | $549.54 | $676.08 |
Moda Health Setting Facility Modifier None Typical Low $562.34 Median $977.24 Typical High $3,890.45 | Facility | None | $562.34 | $977.24 | $3,890.45 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $537.03 Median $2,511.89 Typical High $3,890.45 | Facility | TC · Technical part | $537.03 | $2,511.89 | $3,890.45 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $426.58 Median $616.60 Typical High $1,513.56 | Professional | None (both parts) | $426.58 | $616.60 | $1,513.56 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $169.82 Typical High $389.05 | Professional | 26 · Professional part | $104.71 | $169.82 | $389.05 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $501.19 Typical High $758.58 | Professional | TC · Technical part | $331.13 | $501.19 | $758.58 |
Pacific Source Setting Facility Modifier None Typical Low $186.21 Median $524.81 Typical High $1,071.52 | Facility | None | $186.21 | $524.81 | $1,071.52 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $489.78 | Professional | None (both parts) | $218.78 | $218.78 | $489.78 |
Providence Setting Facility Modifier None Typical Low $602.56 Median $1,047.13 Typical High $1,621.81 | Facility | None | $602.56 | $1,047.13 | $1,621.81 |
Providence Setting Professional Modifier None (both parts) Typical Low $354.81 Median $851.14 Typical High $1,230.27 | Professional | None (both parts) | $354.81 | $851.14 | $1,230.27 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $208.93 Typical High $309.03 | Professional | 26 · Professional part | $102.33 | $208.93 | $309.03 |
Providence Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $630.96 Typical High $1,000.00 | Professional | TC · Technical part | $251.19 | $630.96 | $1,000.00 |
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 $645.65 Median $676.08 Typical High $1,023.29 | Professional | None (both parts) | $645.65 | $676.08 | $1,023.29 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $199.53 Typical High $288.40 | Professional | 26 · Professional part | $190.55 | $199.53 | $288.40 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $478.63 Typical High $724.44 | Professional | TC · Technical part | $457.09 | $478.63 | $724.44 |
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 $338.84 Median $758.58 Typical High $1,202.26 | Professional | None (both parts) | $338.84 | $758.58 | $1,202.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $190.55 Typical High $331.13 | Professional | 26 · Professional part | $95.50 | $190.55 | $331.13 |
United Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $549.54 Typical High $912.01 | Professional | TC · Technical part | $239.88 | $549.54 | $912.01 |
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 $218.78 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $218.78 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $87.10 | $120.23 | $120.23 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $218.78 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $218.78 | $302.00 | $302.00 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $87.10 | $120.23 | $120.23 |
Where Oregon sits
The same service costs 5.8 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· 14th of 51
$676
WY $1,349UT $234
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.