How much rates vary
Facilitymedian $562 · 10th to 90th $162 to $933Professionalmedian $676 · 10th to 90th $363 to $1,072
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 $478.63 Median $602.56 Typical High $630.96 | Professional | None (both parts) | $478.63 | $602.56 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $117.49 Typical High $154.88 | Professional | 26 · Professional part | $104.71 | $117.49 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $501.19 Typical High $501.19 | Professional | TC · Technical part | $338.84 | $501.19 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $891.25 Typical High $891.25 | Facility | None | $295.12 | $891.25 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $380.19 Typical High $1,148.15 | Professional | None (both parts) | $363.08 | $380.19 | $1,148.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $87.10 Typical High $257.04 | Professional | 26 · Professional part | $83.18 | $87.10 | $257.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $295.12 Typical High $912.01 | Professional | TC · Technical part | $275.42 | $295.12 | $912.01 |
Kaiser Permanente Setting Professional Modifier None Typical Low $676.08 Median $776.25 Typical High $954.99 | Professional | None | $676.08 | $776.25 | $954.99 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $186.21 Typical High $223.87 | Professional | 26 · Professional part | $154.88 | $186.21 | $223.87 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $588.84 Typical High $741.31 | Professional | TC · Technical part | $512.86 | $588.84 | $741.31 |
Moda Health Setting Facility Modifier None Typical Low $602.56 Median $977.24 Typical High $1,288.25 | Facility | None | $602.56 | $977.24 | $1,288.25 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $478.63 Median $602.56 Typical High $1,023.29 | Professional | None (both parts) | $478.63 | $602.56 | $1,023.29 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $141.25 Typical High $223.87 | Professional | 26 · Professional part | $104.71 | $141.25 | $223.87 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $501.19 Typical High $776.25 | Professional | TC · Technical part | $338.84 | $501.19 | $776.25 |
Pacific Source Setting Facility Modifier None Typical Low $154.88 Median $537.03 Typical High $794.33 | Facility | None | $154.88 | $537.03 | $794.33 |
Providence Setting Facility Modifier None Typical Low $602.56 Median $977.24 Typical High $1,288.25 | Facility | None | $602.56 | $977.24 | $1,288.25 |
Providence Setting Professional Modifier None (both parts) Typical Low $363.08 Median $776.25 Typical High $1,096.48 | Professional | None (both parts) | $363.08 | $776.25 | $1,096.48 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $165.96 Typical High $251.19 | Professional | 26 · Professional part | $83.18 | $165.96 | $251.19 |
Providence Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $602.56 Typical High $912.01 | Professional | TC · Technical part | $275.42 | $602.56 | $912.01 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $645.65 Median $676.08 Typical High $954.99 | Professional | None (both parts) | $645.65 | $676.08 | $954.99 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $162.18 Typical High $234.42 | Professional | 26 · Professional part | $154.88 | $162.18 | $234.42 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $489.78 Median $512.86 Typical High $776.25 | Professional | TC · Technical part | $489.78 | $512.86 | $776.25 |
United Setting Professional Modifier None (both parts) Typical Low $331.13 Median $660.69 Typical High $1,148.15 | Professional | None (both parts) | $331.13 | $660.69 | $1,148.15 |
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 $257.04 Median $524.81 Typical High $891.25 | Professional | TC · Technical part | $257.04 | $524.81 | $891.25 |
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 $213.80 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $213.80 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $85.11 | $120.23 | $120.23 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $213.80 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $213.80 | $302.00 | $302.00 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $85.11 | $120.23 | $120.23 |
Where Oregon sits
The same service costs 5.6 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
$646
WY $1,380UT $245
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.