How much rates vary
Facilitymedian $457 · 10th to 90th $126 to $1,175Professionalmedian $513 · 10th to 90th $234 to $813
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 $489.78 Median $602.56 Typical High $851.14 | Facility | None | $489.78 | $602.56 | $851.14 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $524.81 Typical High $724.44 | Professional | None (both parts) | $275.42 | $524.81 | $724.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $104.71 Typical High $162.18 | Professional | 26 · Professional part | $72.44 | $104.71 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $371.54 Typical High $512.86 | Professional | TC · Technical part | $190.55 | $371.54 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $741.31 Typical High $741.31 | Facility | None | $190.55 | $741.31 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $275.42 Typical High $812.83 | Professional | None (both parts) | $234.42 | $275.42 | $812.83 |
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 $173.78 Median $229.09 Typical High $630.96 | Professional | TC · Technical part | $173.78 | $229.09 | $630.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $446.68 Median $512.86 Typical High $630.96 | Professional | None | $446.68 | $512.86 | $630.96 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $141.25 Typical High $169.82 | Professional | 26 · Professional part | $117.49 | $141.25 | $169.82 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $371.54 Typical High $467.74 | Professional | TC · Technical part | $323.59 | $371.54 | $467.74 |
Moda Health Setting Facility Modifier None Typical Low $371.54 Median $1,513.56 Typical High $2,041.74 | Facility | None | $371.54 | $1,513.56 | $2,041.74 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $363.08 Median $616.60 Typical High $2,511.89 | Facility | TC · Technical part | $363.08 | $616.60 | $2,511.89 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $239.88 Median $549.54 Typical High $954.99 | Professional | None (both parts) | $239.88 | $549.54 | $954.99 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $125.89 Typical High $204.17 | Professional | 26 · Professional part | $83.18 | $125.89 | $204.17 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $380.19 Typical High $616.60 | Professional | TC · Technical part | $218.78 | $380.19 | $616.60 |
Pacific Source Setting Facility Modifier None Typical Low $104.71 Median $354.81 Typical High $691.83 | Facility | None | $104.71 | $354.81 | $691.83 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $125.89 Median $158.49 Typical High $398.11 | Professional | None (both parts) | $125.89 | $158.49 | $398.11 |
Providence Setting Facility Modifier None Typical Low $602.56 Median $741.31 Typical High $1,148.15 | Facility | None | $602.56 | $741.31 | $1,148.15 |
Providence Setting Professional Modifier None (both parts) Typical Low $234.42 Median $562.34 Typical High $851.14 | Professional | None (both parts) | $234.42 | $562.34 | $851.14 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $125.89 Typical High $186.21 | Professional | 26 · Professional part | $63.10 | $125.89 | $186.21 |
Providence Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $436.52 Typical High $724.44 | Professional | TC · Technical part | $173.78 | $436.52 | $724.44 |
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 $426.58 Median $446.68 Typical High $691.83 | Professional | None (both parts) | $426.58 | $446.68 | $691.83 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $123.03 Typical High $177.83 | Professional | 26 · Professional part | $117.49 | $123.03 | $177.83 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $323.59 Typical High $501.19 | Professional | TC · Technical part | $309.03 | $323.59 | $501.19 |
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 $223.87 Median $489.78 Typical High $776.25 | Professional | None (both parts) | $223.87 | $489.78 | $776.25 |
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 $162.18 Median $371.54 Typical High $630.96 | Professional | TC · Technical part | $162.18 | $371.54 | $630.96 |
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 $151.36 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $151.36 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $60.26 | $120.23 | $120.23 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $151.36 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $151.36 | $302.00 | $302.00 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $60.26 | $120.23 | $120.23 |
Where Oregon sits
The same service costs 5.5 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· 13th of 51
$490
WY $891UT $162
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.