How much rates vary
Facilitymedian $138 · 10th to 90th $1 to $6,761Professionalmedian $389 · 10th to 90th $158 to $11,482
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 $114.82 Median $2,344.23 Typical High $3,981.07 | Professional | None (both parts) | $114.82 | $2,344.23 | $3,981.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $114.82 Typical High $162.18 | Professional | 26 · Professional part | $77.62 | $114.82 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $2,290.87 Typical High $3,981.07 | Professional | TC · Technical part | $81.28 | $2,290.87 | $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 $158.49 Median $234.42 Typical High $407.38 | Professional | None (both parts) | $158.49 | $234.42 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $151.36 Typical High $269.15 | Professional | 26 · Professional part | $104.71 | $151.36 | $269.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $81.28 Typical High $134.90 | Professional | TC · Technical part | $54.95 | $81.28 | $134.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $537.03 Median $616.60 Typical High $776.25 | Professional | None | $537.03 | $616.60 | $776.25 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $234.42 Typical High $281.84 | Professional | 26 · Professional part | $199.53 | $234.42 | $281.84 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $380.19 Typical High $489.78 | Professional | TC · Technical part | $331.13 | $380.19 | $489.78 |
Moda Health Setting Facility Modifier None Typical Low $181.97 Median $309.03 Typical High $5,754.40 | Facility | None | $181.97 | $309.03 | $5,754.40 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $117.49 Median $588.84 Typical High $3,981.07 | Professional | None (both parts) | $117.49 | $588.84 | $3,981.07 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $114.82 Typical High $257.04 | Professional | 26 · Professional part | $79.43 | $114.82 | $257.04 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $380.19 Typical High $3,981.07 | Professional | TC · Technical part | $83.18 | $380.19 | $3,981.07 |
Pacific Source Setting Facility Modifier None Typical Low $1.05 Median $91.20 Typical High $173.78 | Facility | None | $1.05 | $91.20 | $173.78 |
Providence Setting Facility Modifier None Typical Low $181.97 Median $562.34 Typical High $10,471.29 | Facility | None | $181.97 | $562.34 | $10,471.29 |
Providence Setting Professional Modifier None (both parts) Typical Low $194.98 Median $371.54 Typical High $2,398,832.92 | Professional | None (both parts) | $194.98 | $371.54 | $2,398,832.92 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $169.82 Typical High $263.03 | Professional | 26 · Professional part | $123.03 | $169.82 | $263.03 |
Providence Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $91.20 Typical High $144.54 | Professional | TC · Technical part | $66.07 | $91.20 | $144.54 |
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 $234.42 Median $263.03 Typical High $371.54 | Professional | None (both parts) | $234.42 | $263.03 | $371.54 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $173.78 Typical High $251.19 | Professional | 26 · Professional part | $158.49 | $173.78 | $251.19 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $87.10 Typical High $123.03 | Professional | TC · Technical part | $77.62 | $87.10 | $123.03 |
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 $389.05 Median $2,691.53 Typical High $9,120.11 | Professional | None (both parts) | $389.05 | $2,691.53 | $9,120.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $158.49 Typical High $275.42 | Professional | 26 · Professional part | $87.10 | $158.49 | $275.42 |
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 |
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 $3,090.30 Median $3,090.30 Typical High $3,981.07 | Facility | 53 · Discontinued | $3,090.30 | $3,090.30 | $3,981.07 |
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 $812.83 Typical High $812.83 | Professional | 53 · Discontinued | $389.05 | $812.83 | $812.83 |
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 $812.83 Typical High $812.83 | Professional | 53 · Discontinued | $426.58 | $812.83 | $812.83 |
Where Oregon sits
The same service costs 26.3 times more in Colorado than in New Mexico. 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
$275
CO $3,467NM $132
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.