How much rates vary
Facilitymedian $501 · 10th to 90th $141 to $1,175Professionalmedian $603 · 10th to 90th $324 to $1,023
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 Professional Modifier None (both parts) Typical Low $416.87 Median $562.34 Typical High $602.56 | Professional | None (both parts) | $416.87 | $562.34 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $104.71 Typical High $147.91 | Professional | 26 · Professional part | $100.00 | $104.71 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $436.52 Typical High $501.19 | Professional | TC · Technical part | $302.00 | $436.52 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $1,174.90 Typical High $1,174.90 | Facility | None | $263.03 | $1,174.90 | $1,174.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $354.81 Typical High $1,096.48 | Professional | None (both parts) | $323.59 | $354.81 | $1,096.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $85.11 Typical High $245.47 | Professional | 26 · Professional part | $81.28 | $85.11 | $245.47 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $288.40 Typical High $831.76 | Professional | TC · Technical part | $239.88 | $288.40 | $831.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $602.56 Median $691.83 Typical High $851.14 | Professional | None | $602.56 | $691.83 | $851.14 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $181.97 Typical High $213.80 | Professional | 26 · Professional part | $151.36 | $181.97 | $213.80 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $512.86 Typical High $645.65 | Professional | TC · Technical part | $436.52 | $512.86 | $645.65 |
Moda Health Setting Facility Modifier None Typical Low $602.56 Median $1,122.02 Typical High $1,445.44 | Facility | None | $602.56 | $1,122.02 | $1,445.44 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $478.63 Median $602.56 Typical High $977.24 | Professional | None (both parts) | $478.63 | $602.56 | $977.24 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $134.90 Typical High $199.53 | Professional | 26 · Professional part | $104.71 | $134.90 | $199.53 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $478.63 Typical High $676.08 | Professional | TC · Technical part | $323.59 | $478.63 | $676.08 |
Pacific Source Setting Facility Modifier None Typical Low $131.83 Median $467.74 Typical High $870.96 | Facility | None | $131.83 | $467.74 | $870.96 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $169.82 Median $229.09 Typical High $676.08 | Professional | None (both parts) | $169.82 | $229.09 | $676.08 |
Providence Setting Facility Modifier None Typical Low $602.56 Median $933.25 Typical High $1,445.44 | Facility | None | $602.56 | $933.25 | $1,445.44 |
Providence Setting Professional Modifier None (both parts) Typical Low $323.59 Median $758.58 Typical High $1,096.48 | Professional | None (both parts) | $323.59 | $758.58 | $1,096.48 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $158.49 Typical High $239.88 | Professional | 26 · Professional part | $81.28 | $158.49 | $239.88 |
Providence Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $602.56 Typical High $891.25 | Professional | TC · Technical part | $239.88 | $602.56 | $891.25 |
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 $575.44 Median $602.56 Typical High $933.25 | Professional | None (both parts) | $575.44 | $602.56 | $933.25 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $158.49 Typical High $223.87 | Professional | 26 · Professional part | $151.36 | $158.49 | $223.87 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $446.68 Typical High $691.83 | Professional | TC · Technical part | $426.58 | $446.68 | $691.83 |
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 $302.00 Median $660.69 Typical High $1,047.13 | Professional | None (both parts) | $302.00 | $660.69 | $1,047.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $151.36 Typical High $263.03 | Professional | 26 · Professional part | $75.86 | $151.36 | $263.03 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $501.19 Typical High $794.33 | Professional | TC · Technical part | $229.09 | $501.19 | $794.33 |
5 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 Facility Modifier 53 · Discontinued Typical Low $389.05 Median $389.05 Typical High $501.19 | Facility | 53 · Discontinued | $389.05 | $389.05 | $501.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $199.53 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $199.53 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $79.43 | $120.23 | $120.23 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $199.53 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $199.53 | $302.00 | $302.00 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $79.43 | $120.23 | $120.23 |
Where Oregon sits
The same service costs 5.6 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· 16th of 51
$603
WY $1,230UT $219
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.