How much rates vary
Facilitymedian $562 · 10th to 90th $123 to $1,023Professionalmedian $603 · 10th to 90th $324 to $977
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 $562.34 Median $707.95 Typical High $1,047.13 | Facility | None | $562.34 | $707.95 | $1,047.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $602.56 Typical High $724.44 | Professional | None (both parts) | $354.81 | $602.56 | $724.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $104.71 Typical High $154.88 | Professional | 26 · Professional part | $72.44 | $104.71 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $467.74 Typical High $512.86 | Professional | TC · Technical part | $281.84 | $467.74 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $741.31 Typical High $741.31 | Facility | None | $281.84 | $741.31 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $354.81 Typical High $1,000.00 | Professional | None (both parts) | $323.59 | $354.81 | $1,000.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $66.07 Typical High $194.98 | Professional | 26 · Professional part | $63.10 | $66.07 | $194.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $281.84 Typical High $870.96 | Professional | TC · Technical part | $257.04 | $281.84 | $870.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $602.56 Median $691.83 Typical High $870.96 | Professional | None | $602.56 | $691.83 | $870.96 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $144.54 Typical High $169.82 | Professional | 26 · Professional part | $120.23 | $144.54 | $169.82 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $549.54 Typical High $707.95 | Professional | TC · Technical part | $478.63 | $549.54 | $707.95 |
Moda Health Setting Facility Modifier None Typical Low $489.78 Median $1,174.90 Typical High $1,995.26 | Facility | None | $489.78 | $1,174.90 | $1,995.26 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $338.84 Median $602.56 Typical High $977.24 | Professional | None (both parts) | $338.84 | $602.56 | $977.24 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $123.03 Typical High $204.17 | Professional | 26 · Professional part | $89.13 | $123.03 | $204.17 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $501.19 Typical High $724.44 | Professional | TC · Technical part | $302.00 | $501.19 | $724.44 |
Pacific Source Setting Facility Modifier None Typical Low $104.71 Median $478.63 Typical High $691.83 | Facility | None | $104.71 | $478.63 | $691.83 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $70.79 Median $134.90 Typical High $501.19 | Professional | None (both parts) | $70.79 | $134.90 | $501.19 |
Providence Setting Facility Modifier None Typical Low $602.56 Median $891.25 Typical High $1,174.90 | Facility | None | $602.56 | $891.25 | $1,174.90 |
Providence Setting Professional Modifier None (both parts) Typical Low $323.59 Median $691.83 Typical High $977.24 | Professional | None (both parts) | $323.59 | $691.83 | $977.24 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $123.03 Typical High $186.21 | Professional | 26 · Professional part | $63.10 | $123.03 | $186.21 |
Providence Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $575.44 Typical High $851.14 | Professional | TC · Technical part | $257.04 | $575.44 | $851.14 |
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 $575.44 Median $616.60 Typical High $870.96 | Professional | None (both parts) | $575.44 | $616.60 | $870.96 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $125.89 Typical High $177.83 | Professional | 26 · Professional part | $117.49 | $125.89 | $177.83 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $489.78 Typical High $724.44 | Professional | TC · Technical part | $467.74 | $489.78 | $724.44 |
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 $302.00 Median $602.56 Typical High $1,047.13 | Professional | None (both parts) | $302.00 | $602.56 | $1,047.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $117.49 Typical High $204.17 | Professional | 26 · Professional part | $58.88 | $117.49 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $501.19 Typical High $831.76 | Professional | TC · Technical part | $245.47 | $501.19 | $831.76 |
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 $177.83 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $177.83 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $70.79 | $120.23 | $120.23 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $177.83 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $177.83 | $302.00 | $302.00 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $70.79 | $120.23 | $120.23 |
Where Oregon sits
The same service costs 5.1 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
$603
WY $1,202UT $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.