How much rates vary
Facilitymedian $575 · 10th to 90th $148 to $1,175Professionalmedian $661 · 10th to 90th $355 to $1,047
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 $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
Aetna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $602.56 Typical High $602.56 | Professional | None (both parts) | $426.58 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $104.71 Typical High $128.82 | Professional | 26 · Professional part | $93.33 | $104.71 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $501.19 Typical High $501.19 | Professional | TC · Technical part | $302.00 | $501.19 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $1,174.90 Typical High $1,174.90 | Facility | None | $302.00 | $1,174.90 | $1,174.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $380.19 Typical High $1,122.02 | Professional | None (both parts) | $354.81 | $380.19 | $1,122.02 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $79.43 Typical High $234.42 | Professional | 26 · Professional part | $75.86 | $79.43 | $234.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $302.00 Typical High $933.25 | Professional | TC · Technical part | $275.42 | $302.00 | $933.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $660.69 Median $758.58 Typical High $954.99 | Professional | None | $660.69 | $758.58 | $954.99 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $169.82 Typical High $204.17 | Professional | 26 · Professional part | $144.54 | $169.82 | $204.17 |
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 $549.54 Median $602.56 Typical High $1,000.00 | Professional | None (both parts) | $549.54 | $602.56 | $1,000.00 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $123.03 Typical High $223.87 | Professional | 26 · Professional part | $104.71 | $123.03 | $223.87 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $501.19 Typical High $831.76 | Professional | TC · Technical part | $371.54 | $501.19 | $831.76 |
Pacific Source Setting Facility Modifier None Typical Low $125.89 Median $524.81 Typical High $776.25 | Facility | None | $125.89 | $524.81 | $776.25 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $114.82 Median $162.18 Typical High $537.03 | Professional | None (both parts) | $114.82 | $162.18 | $537.03 |
Providence Setting Facility Modifier None Typical Low $602.56 Median $1,000.00 Typical High $1,288.25 | Facility | None | $602.56 | $1,000.00 | $1,288.25 |
Providence Setting Professional Modifier None (both parts) Typical Low $354.81 Median $758.58 Typical High $1,071.52 | Professional | None (both parts) | $354.81 | $758.58 | $1,071.52 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $151.36 Typical High $223.87 | Professional | 26 · Professional part | $75.86 | $151.36 | $223.87 |
Providence Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $616.60 Typical High $912.01 | Professional | TC · Technical part | $275.42 | $616.60 | $912.01 |
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 $630.96 Median $660.69 Typical High $954.99 | Professional | None (both parts) | $630.96 | $660.69 | $954.99 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $147.91 Typical High $213.80 | Professional | 26 · Professional part | $141.25 | $147.91 | $213.80 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $489.78 Median $524.81 Typical High $776.25 | Professional | TC · Technical part | $489.78 | $524.81 | $776.25 |
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 $691.83 Typical High $1,148.15 | Professional | None (both parts) | $338.84 | $691.83 | $1,148.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $141.25 Typical High $245.47 | Professional | 26 · Professional part | $70.79 | $141.25 | $245.47 |
United Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $575.44 Typical High $891.25 | Professional | TC · Technical part | $263.03 | $575.44 | $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 5.4 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· 11th of 51
$661
WY $1,318UT $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.