How much rates vary
Facilitymedian $63 · 10th to 90th $6 to $6,918Professionalmedian $708 · 10th to 90th $389 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 $15,488.17 Median $15,488.17 Typical High $19,952.62 | Facility | TC · Technical part | $15,488.17 | $15,488.17 | $19,952.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $3,981.07 Typical High $3,981.07 | Professional | None (both parts) | $478.63 | $3,981.07 | $3,981.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $52.48 Typical High $60.26 | Professional | 26 · Professional part | $38.02 | $52.48 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $3,981.07 Typical High $3,981.07 | Professional | TC · Technical part | $467.74 | $3,981.07 | $3,981.07 |
Cigna Setting Facility Modifier None Typical Low $6,760.83 Median $9,549.93 Typical High $11,748.98 | Facility | None | $6,760.83 | $9,549.93 | $11,748.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $467.74 Typical High $776.25 | Professional | None (both parts) | $309.03 | $467.74 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $67.61 Typical High $117.49 | Professional | 26 · Professional part | $46.77 | $67.61 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $398.11 Typical High $660.69 | Professional | TC · Technical part | $281.84 | $398.11 | $660.69 |
Kaiser Permanente Setting Professional Modifier None Typical Low $489.78 Median $575.44 Typical High $724.44 | Professional | None | $489.78 | $575.44 | $724.44 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $85.11 Typical High $102.33 | Professional | 26 · Professional part | $72.44 | $85.11 | $102.33 |
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 $87.10 Median $660.69 Typical High $5,754.40 | Facility | None | $87.10 | $660.69 | $5,754.40 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $478.63 Median $3,981.07 Typical High $3,981.07 | Professional | None (both parts) | $478.63 | $3,981.07 | $3,981.07 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $52.48 Typical High $102.33 | Professional | 26 · Professional part | $39.81 | $52.48 | $102.33 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $3,981.07 Typical High $3,981.07 | Professional | TC · Technical part | $467.74 | $3,981.07 | $3,981.07 |
Pacific Source Setting Facility Modifier None Typical Low $5.75 Median $46.77 Typical High $77.62 | Facility | None | $5.75 | $46.77 | $77.62 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $5.75 Median $5.75 Typical High $97.72 | Professional | None (both parts) | $5.75 | $5.75 | $97.72 |
Providence Setting Facility Modifier None Typical Low $87.10 Median $6,918.31 Typical High $10,471.29 | Facility | None | $87.10 | $6,918.31 | $10,471.29 |
Providence Setting Professional Modifier None (both parts) Typical Low $389.05 Median $724.44 Typical High $2,398,832.92 | Professional | None (both parts) | $389.05 | $724.44 | $2,398,832.92 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $79.43 Typical High $112.20 | Professional | 26 · Professional part | $54.95 | $79.43 | $112.20 |
Providence Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $446.68 Typical High $660.69 | Professional | TC · Technical part | $331.13 | $446.68 | $660.69 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,311.31 Median $8,709.64 Typical High $12,882.50 | Facility | None | $3,311.31 | $8,709.64 | $12,882.50 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $467.74 Median $501.19 Typical High $707.95 | Professional | None (both parts) | $467.74 | $501.19 | $707.95 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $74.13 Typical High $107.15 | Professional | 26 · Professional part | $70.79 | $74.13 | $107.15 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $416.87 Typical High $602.56 | Professional | TC · Technical part | $398.11 | $416.87 | $602.56 |
United Setting Facility Modifier None Typical Low $10,000.00 Median $12,589.25 Typical High $15,488.17 | Facility | None | $10,000.00 | $12,589.25 | $15,488.17 |
United Setting Professional Modifier None (both parts) Typical Low $616.60 Median $2,630.27 Typical High $8,912.51 | Professional | None (both parts) | $616.60 | $2,630.27 | $8,912.51 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $70.79 Typical High $123.03 | Professional | 26 · Professional part | $41.69 | $70.79 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $2,691.53 Typical High $8,709.64 | Professional | TC · Technical part | $691.83 | $2,691.53 | $8,709.64 |
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 $977.24 Median $1,995.26 Typical High $1,995.26 | Professional | 52 · Reduced service | $977.24 | $1,995.26 | $1,995.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $389.05 Median $794.33 Typical High $794.33 | Professional | 53 · Discontinued | $389.05 | $794.33 | $794.33 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1,071.52 Median $1,995.26 Typical High $1,995.26 | Professional | 52 · Reduced service | $1,071.52 | $1,995.26 | $1,995.26 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $426.58 Median $794.33 Typical High $794.33 | Professional | 53 · Discontinued | $426.58 | $794.33 | $794.33 |
Where Oregon sits
The same service costs 15.1 times more in Colorado 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· 32nd of 51
$513
CO $3,715NJ $245
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.