How much rates vary
Facilitymedian $38 · 10th to 90th $1 to $1,514Professionalmedian $145 · 10th to 90th $81 to $759
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 TC · Technical part Typical Low $2,630.27 Median $2,630.27 Typical High $3,388.44 | Facility | TC · Technical part | $2,630.27 | $2,630.27 | $3,388.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $676.08 Typical High $676.08 | Professional | None (both parts) | $331.13 | $676.08 | $676.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $30.20 Typical High $30.20 | Professional | 26 · Professional part | $19.50 | $30.20 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $676.08 Typical High $676.08 | Professional | TC · Technical part | $323.59 | $676.08 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $1,698.24 Typical High $2,041.74 | Facility | None | $1,174.90 | $1,698.24 | $2,041.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $100.00 Typical High $165.96 | Professional | None (both parts) | $79.43 | $100.00 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $38.02 Typical High $66.07 | Professional | 26 · Professional part | $26.92 | $38.02 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $61.66 Typical High $104.71 | Professional | TC · Technical part | $48.98 | $61.66 | $104.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $107.15 Median $123.03 Typical High $151.36 | Professional | None | $107.15 | $123.03 | $151.36 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $48.98 Typical High $58.88 | Professional | 26 · Professional part | $41.69 | $48.98 | $58.88 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $74.13 Typical High $93.33 | Professional | TC · Technical part | $64.57 | $74.13 | $93.33 |
Moda Health Setting Facility Modifier None Typical Low $51.29 Median $141.25 Typical High $977.24 | Facility | None | $51.29 | $141.25 | $977.24 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $269.15 Median $676.08 Typical High $676.08 | Professional | None (both parts) | $269.15 | $676.08 | $676.08 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $30.20 Typical High $56.23 | Professional | 26 · Professional part | $22.39 | $30.20 | $56.23 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $676.08 Typical High $676.08 | Professional | TC · Technical part | $263.03 | $676.08 | $676.08 |
Pacific Source Setting Facility Modifier None Typical Low $1.23 Median $26.30 Typical High $46.77 | Facility | None | $1.23 | $26.30 | $46.77 |
Providence Setting Facility Modifier None Typical Low $51.29 Median $831.76 Typical High $1,698.24 | Facility | None | $51.29 | $831.76 | $1,698.24 |
Providence Setting Professional Modifier None (both parts) Typical Low $77.62 Median $112.20 Typical High $165.96 | Professional | None (both parts) | $77.62 | $112.20 | $165.96 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $45.71 Typical High $64.57 | Professional | 26 · Professional part | $30.90 | $45.71 | $64.57 |
Providence Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $70.79 Typical High $102.33 | Professional | TC · Technical part | $50.12 | $70.79 | $102.33 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,445.44 Median $1,737.80 Typical High $2,187.76 | Facility | None | $1,445.44 | $1,737.80 | $2,187.76 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $100.00 Median $107.15 Typical High $151.36 | Professional | None (both parts) | $100.00 | $107.15 | $151.36 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $42.66 Typical High $60.26 | Professional | 26 · Professional part | $40.74 | $42.66 | $60.26 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $64.57 Typical High $91.20 | Professional | TC · Technical part | $60.26 | $64.57 | $91.20 |
United Setting Facility Modifier None Typical Low $1,737.80 Median $2,187.76 Typical High $2,691.53 | Facility | None | $1,737.80 | $2,187.76 | $2,691.53 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $831.76 Typical High $1,698.24 | Professional | None (both parts) | $165.96 | $831.76 | $1,698.24 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $40.74 Typical High $70.79 | Professional | 26 · Professional part | $23.99 | $40.74 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $812.83 Typical High $1,621.81 | Professional | TC · Technical part | $338.84 | $812.83 | $1,621.81 |
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 $165.96 Median $338.84 Typical High $338.84 | Professional | 52 · Reduced service | $165.96 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $134.90 Typical High $134.90 | Professional | 53 · Discontinued | $66.07 | $134.90 | $134.90 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $181.97 Median $338.84 Typical High $338.84 | Professional | 52 · Reduced service | $181.97 | $338.84 | $338.84 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $134.90 Typical High $134.90 | Professional | 53 · Discontinued | $72.44 | $134.90 | $134.90 |
Where Oregon sits
The same service costs 11.2 times more in Colorado than in Michigan. 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· 40th of 51
$107
CO $661MI $58.88
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.