How much rates vary
Facilitymedian $71 · 10th to 90th $5 to $1,862Professionalmedian $646 · 10th to 90th $380 to $1,819,701
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 $2,951.21 Median $2,951.21 Typical High $3,801.89 | Facility | TC · Technical part | $2,951.21 | $2,951.21 | $3,801.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $776.25 Typical High $776.25 | Professional | None (both parts) | $446.68 | $776.25 | $776.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $57.54 Typical High $57.54 | Professional | 26 · Professional part | $36.31 | $57.54 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $758.58 Typical High $758.58 | Professional | TC · Technical part | $436.52 | $758.58 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $1,348.96 Median $1,905.46 Typical High $2,290.87 | Facility | None | $1,348.96 | $1,905.46 | $2,290.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $457.09 Typical High $758.58 | Professional | None (both parts) | $309.03 | $457.09 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $74.13 Typical High $128.82 | Professional | 26 · Professional part | $51.29 | $74.13 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $389.05 Typical High $630.96 | Professional | TC · Technical part | $269.15 | $389.05 | $630.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $501.19 Median $588.84 Typical High $724.44 | Professional | None | $501.19 | $588.84 | $724.44 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $97.72 Typical High $117.49 | Professional | 26 · Professional part | $83.18 | $97.72 | $117.49 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $489.78 Typical High $616.60 | Professional | TC · Technical part | $416.87 | $489.78 | $616.60 |
Moda Health Setting Facility Modifier None Typical Low $91.20 Median $630.96 Typical High $1,096.48 | Facility | None | $91.20 | $630.96 | $1,096.48 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $407.38 Median $776.25 Typical High $776.25 | Professional | None (both parts) | $407.38 | $776.25 | $776.25 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $57.54 Typical High $114.82 | Professional | 26 · Professional part | $46.77 | $57.54 | $114.82 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $758.58 Typical High $758.58 | Professional | TC · Technical part | $363.08 | $758.58 | $758.58 |
Pacific Source Setting Facility Modifier None Typical Low $5.01 Median $50.12 Typical High $87.10 | Facility | None | $5.01 | $50.12 | $87.10 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $3.02 Median $3.02 Typical High $48.98 | Professional | None (both parts) | $3.02 | $3.02 | $48.98 |
Providence Setting Facility Modifier None Typical Low $91.20 Median $1,380.38 Typical High $2,089.30 | Facility | None | $91.20 | $1,380.38 | $2,089.30 |
Providence Setting Professional Modifier None (both parts) Typical Low $380.19 Median $707.95 Typical High $2,398,832.92 | Professional | None (both parts) | $380.19 | $707.95 | $2,398,832.92 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $87.10 Typical High $123.03 | Professional | 26 · Professional part | $60.26 | $87.10 | $123.03 |
Providence Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $436.52 Typical High $630.96 | Professional | TC · Technical part | $316.23 | $436.52 | $630.96 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,737.80 Median $2,041.74 Typical High $2,818.38 | Facility | None | $1,737.80 | $2,041.74 | $2,818.38 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $457.09 Median $478.63 Typical High $691.83 | Professional | None (both parts) | $457.09 | $478.63 | $691.83 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $83.18 Typical High $117.49 | Professional | 26 · Professional part | $77.62 | $83.18 | $117.49 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $398.11 Typical High $575.44 | Professional | TC · Technical part | $380.19 | $398.11 | $575.44 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $2,511.89 Typical High $3,090.30 | Facility | None | $1,995.26 | $2,511.89 | $3,090.30 |
United Setting Professional Modifier None (both parts) Typical Low $380.19 Median $1,047.13 Typical High $1,995.26 | Professional | None (both parts) | $380.19 | $1,047.13 | $1,995.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $75.86 Typical High $131.83 | Professional | 26 · Professional part | $44.67 | $75.86 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $1,000.00 Typical High $1,905.46 | Professional | TC · Technical part | $338.84 | $1,000.00 | $1,905.46 |
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 $223.87 Median $389.05 Typical High $389.05 | Professional | 52 · Reduced service | $223.87 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $154.88 Typical High $154.88 | Professional | 53 · Discontinued | $89.13 | $154.88 | $154.88 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $223.87 Median $389.05 Typical High $389.05 | Professional | 52 · Reduced service | $223.87 | $389.05 | $389.05 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $154.88 Typical High $154.88 | Professional | 53 · Discontinued | $89.13 | $154.88 | $154.88 |
Where Oregon sits
The same service costs 4.8 times more in Alaska than in New Jersey. 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· 26th of 51
$490
AK $1,000NJ $209
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.