How much rates vary
Facilitymedian $407 · 10th to 90th $123 to $1,549Professionalmedian $479 · 10th to 90th $214 to $741
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 $436.52 Median $616.60 Typical High $851.14 | Facility | None | $436.52 | $616.60 | $851.14 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $331.13 Median $616.60 Typical High $2,511.89 | Facility | TC · Technical part | $331.13 | $616.60 | $2,511.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $524.81 Typical High $724.44 | Professional | None (both parts) | $245.47 | $524.81 | $724.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $104.71 Typical High $177.83 | Professional | 26 · Professional part | $72.44 | $104.71 | $177.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $371.54 Typical High $512.86 | Professional | TC · Technical part | $169.82 | $371.54 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $741.31 Typical High $741.31 | Facility | None | $162.18 | $741.31 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $245.47 Typical High $741.31 | Professional | None (both parts) | $213.80 | $245.47 | $741.31 |
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 $151.36 Median $173.78 Typical High $524.81 | Professional | TC · Technical part | $151.36 | $173.78 | $524.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $407.38 Median $467.74 Typical High $588.84 | Professional | None | $407.38 | $467.74 | $588.84 |
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 $281.84 Median $323.59 Typical High $416.87 | Professional | TC · Technical part | $281.84 | $323.59 | $416.87 |
Moda Health Setting Facility Modifier None Typical Low $346.74 Median $1,258.93 Typical High $2,187.76 | Facility | None | $346.74 | $1,258.93 | $2,187.76 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $331.13 Median $645.65 Typical High $2,511.89 | Facility | TC · Technical part | $331.13 | $645.65 | $2,511.89 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $181.97 Median $489.78 Typical High $933.25 | Professional | None (both parts) | $181.97 | $489.78 | $933.25 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $128.82 Typical High $204.17 | Professional | 26 · Professional part | $79.43 | $128.82 | $204.17 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $354.81 Typical High $602.56 | Professional | TC · Technical part | $165.96 | $354.81 | $602.56 |
Pacific Source Setting Facility Modifier None Typical Low $104.71 Median $281.84 Typical High $676.08 | Facility | None | $104.71 | $281.84 | $676.08 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $128.82 Median $134.90 Typical High $302.00 | Professional | None (both parts) | $128.82 | $134.90 | $302.00 |
Providence Setting Facility Modifier None Typical Low $537.03 Median $616.60 Typical High $1,071.52 | Facility | None | $537.03 | $616.60 | $1,071.52 |
Providence Setting Professional Modifier None (both parts) Typical Low $213.80 Median $467.74 Typical High $741.31 | Professional | None (both parts) | $213.80 | $467.74 | $741.31 |
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 $151.36 Median $346.74 Typical High $602.56 | Professional | TC · Technical part | $151.36 | $346.74 | $602.56 |
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 $389.05 Median $407.38 Typical High $616.60 | Professional | None (both parts) | $389.05 | $407.38 | $616.60 |
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 $269.15 Median $281.84 Typical High $426.58 | Professional | TC · Technical part | $269.15 | $281.84 | $426.58 |
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 $199.53 Median $446.68 Typical High $707.95 | Professional | None (both parts) | $199.53 | $446.68 | $707.95 |
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 $138.04 Median $323.59 Typical High $489.78 | Professional | TC · Technical part | $138.04 | $323.59 | $489.78 |
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 $134.90 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $134.90 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $53.70 | $120.23 | $120.23 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $134.90 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $134.90 | $302.00 | $302.00 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $53.70 | $120.23 | $120.23 |
Where Oregon sits
The same service costs 13.5 times more in Vermont 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
$447
VT $2,089UT $155
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.