How much rates vary
Facilitymedian $339 · 10th to 90th $85 to $8,710Professionalmedian $724 · 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 $489.78 Median $3,981.07 Typical High $3,981.07 | Professional | None (both parts) | $489.78 | $3,981.07 | $3,981.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $72.44 Typical High $79.43 | Professional | 26 · Professional part | $51.29 | $72.44 | $79.43 |
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 $331.13 Median $478.63 Typical High $794.33 | Professional | None (both parts) | $331.13 | $478.63 | $794.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $91.20 Typical High $158.49 | Professional | 26 · Professional part | $64.57 | $91.20 | $158.49 |
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 $575.44 Typical High $724.44 | Professional | None | $501.19 | $575.44 | $724.44 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $117.49 Typical High $138.04 | Professional | 26 · Professional part | $97.72 | $117.49 | $138.04 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $467.74 Typical High $588.84 | Professional | TC · Technical part | $398.11 | $467.74 | $588.84 |
Moda Health Setting Facility Modifier None Typical Low $125.89 Median $724.44 Typical High $5,754.40 | Facility | None | $125.89 | $724.44 | $5,754.40 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $489.78 Median $3,981.07 Typical High $3,981.07 | Professional | None (both parts) | $489.78 | $3,981.07 | $3,981.07 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $72.44 Typical High $138.04 | Professional | 26 · Professional part | $57.54 | $72.44 | $138.04 |
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 $85.11 Median $302.00 Typical High $501.19 | Facility | None | $85.11 | $302.00 | $501.19 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $63.10 Median $81.28 Typical High $398.11 | Professional | None (both parts) | $63.10 | $81.28 | $398.11 |
Providence Setting Facility Modifier None Typical Low $125.89 Median $6,918.31 Typical High $10,471.29 | Facility | None | $125.89 | $6,918.31 | $10,471.29 |
Providence Setting Professional Modifier None (both parts) Typical Low $389.05 Median $741.31 Typical High $2,398,832.92 | Professional | None (both parts) | $389.05 | $741.31 | $2,398,832.92 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $112.20 Typical High $151.36 | Professional | 26 · Professional part | $74.13 | $112.20 | $151.36 |
Providence Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $446.68 Typical High $630.96 | Professional | TC · Technical part | $316.23 | $446.68 | $630.96 |
Regence BlueShield Setting Facility Modifier None Typical Low $8,317.64 Median $10,964.78 Typical High $12,882.50 | Facility | None | $8,317.64 | $10,964.78 | $12,882.50 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $478.63 Median $501.19 Typical High $724.44 | Professional | None (both parts) | $478.63 | $501.19 | $724.44 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $102.33 Typical High $144.54 | Professional | 26 · Professional part | $95.50 | $102.33 | $144.54 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $407.38 Typical High $575.44 | Professional | TC · Technical part | $380.19 | $407.38 | $575.44 |
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 $676.08 Median $4,466.84 Typical High $9,549.93 | Professional | None (both parts) | $676.08 | $4,466.84 | $9,549.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $97.72 Typical High $169.82 | Professional | 26 · Professional part | $57.54 | $97.72 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $4,570.88 Typical High $9,332.54 | Professional | TC · Technical part | $741.31 | $4,570.88 | $9,332.54 |
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· 30th of 51
$550
CO $3,890NJ $257
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.