How much rates vary
Facilitymedian $562 · 10th to 90th $151 to $1,778Professionalmedian $631 · 10th to 90th $331 to $1,000
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 $602.56 Median $741.31 Typical High $1,202.26 | Facility | None | $602.56 | $741.31 | $1,202.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $602.56 Typical High $724.44 | Professional | None (both parts) | $398.11 | $602.56 | $724.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $120.23 Typical High $154.88 | Professional | 26 · Professional part | $87.10 | $120.23 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $467.74 Typical High $537.03 | Professional | TC · Technical part | $281.84 | $467.74 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $2,398.83 Typical High $2,398.83 | Facility | None | $281.84 | $2,398.83 | $2,398.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $363.08 Typical High $1,071.52 | Professional | None (both parts) | $331.13 | $363.08 | $1,071.52 |
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 $257.04 Median $281.84 Typical High $891.25 | Professional | TC · Technical part | $257.04 | $281.84 | $891.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $630.96 Median $724.44 Typical High $912.01 | Professional | None | $630.96 | $724.44 | $912.01 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $173.78 Typical High $204.17 | Professional | 26 · Professional part | $144.54 | $173.78 | $204.17 |
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 $691.83 Median $1,778.28 Typical High $3,715.35 | Facility | None | $691.83 | $1,778.28 | $3,715.35 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $363.08 Median $602.56 Typical High $1,000.00 | Professional | None (both parts) | $363.08 | $602.56 | $1,000.00 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $134.90 Typical High $223.87 | Professional | 26 · Professional part | $104.71 | $134.90 | $223.87 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $501.19 Typical High $741.31 | Professional | TC · Technical part | $309.03 | $501.19 | $741.31 |
Pacific Source Setting Facility Modifier None Typical Low $131.83 Median $478.63 Typical High $724.44 | Facility | None | $131.83 | $478.63 | $724.44 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $162.18 Median $194.98 Typical High $501.19 | Professional | None (both parts) | $162.18 | $194.98 | $501.19 |
Providence Setting Facility Modifier None Typical Low $602.56 Median $933.25 Typical High $1,659.59 | Facility | None | $602.56 | $933.25 | $1,659.59 |
Providence Setting Professional Modifier None (both parts) Typical Low $331.13 Median $724.44 Typical High $1,023.29 | Professional | None (both parts) | $331.13 | $724.44 | $1,023.29 |
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 $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 $2,041.74 Median $2,511.89 Typical High $3,162.28 | Facility | None | $2,041.74 | $2,511.89 | $3,162.28 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $602.56 Median $630.96 Typical High $912.01 | Professional | None (both parts) | $602.56 | $630.96 | $912.01 |
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 $457.09 Median $478.63 Typical High $724.44 | Professional | TC · Technical part | $457.09 | $478.63 | $724.44 |
United Setting Facility Modifier None Typical Low $2,511.89 Median $3,090.30 Typical High $3,890.45 | Facility | None | $2,511.89 | $3,090.30 | $3,890.45 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $676.08 Typical High $1,096.48 | Professional | None (both parts) | $316.23 | $676.08 | $1,096.48 |
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 $245.47 Median $524.81 Typical High $831.76 | Professional | TC · Technical part | $245.47 | $524.81 | $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 $204.17 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $204.17 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $81.28 | $120.23 | $120.23 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $204.17 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $204.17 | $302.00 | $302.00 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $81.28 | $120.23 | $120.23 |
Where Oregon sits
The same service costs 5.4 times more in Wyoming than in Texas. 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 $1,259TX $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.