How much rates vary
Facilitymedian $63 · 10th to 90th $2 to $151Professionalmedian $219 · 10th to 90th $145 to $339
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 $1,258.93 Median $1,258.93 Typical High $1,584.89 | Facility | TC · Technical part | $1,258.93 | $1,258.93 | $1,584.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $338.84 Typical High $338.84 | Professional | None (both parts) | $269.15 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $56.23 Typical High $56.23 | Professional | 26 · Professional part | $41.69 | $56.23 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $323.59 Typical High $323.59 | Professional | TC · Technical part | $257.04 | $323.59 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $741.31 Typical High $891.25 | Facility | None | $524.81 | $741.31 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $165.96 Typical High $275.42 | Professional | None (both parts) | $131.83 | $165.96 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $66.07 Typical High $109.65 | Professional | 26 · Professional part | $52.48 | $66.07 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $100.00 Typical High $165.96 | Professional | TC · Technical part | $77.62 | $100.00 | $165.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $186.21 Median $229.09 Typical High $281.84 | Professional | None | $186.21 | $229.09 | $281.84 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $93.33 Typical High $112.20 | Professional | 26 · Professional part | $81.28 | $93.33 | $112.20 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $134.90 Typical High $169.82 | Professional | TC · Technical part | $114.82 | $134.90 | $169.82 |
Moda Health Setting Facility Modifier None Typical Low $91.20 Median $251.19 Typical High $478.63 | Facility | None | $91.20 | $251.19 | $478.63 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $234.42 Median $338.84 Typical High $338.84 | Professional | None (both parts) | $234.42 | $338.84 | $338.84 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $104.71 | Professional | 26 · Professional part | $56.23 | $56.23 | $104.71 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $323.59 Typical High $323.59 | Professional | TC · Technical part | $190.55 | $323.59 | $323.59 |
Pacific Source Setting Facility Modifier None Typical Low $1.74 Median $47.86 Typical High $93.33 | Facility | None | $1.74 | $47.86 | $93.33 |
Providence Setting Facility Modifier None Typical Low $91.20 Median $389.05 Typical High $741.31 | Facility | None | $91.20 | $389.05 | $741.31 |
Providence Setting Professional Modifier None (both parts) Typical Low $144.54 Median $181.97 Typical High $288.40 | Professional | None (both parts) | $144.54 | $181.97 | $288.40 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $77.62 Typical High $117.49 | Professional | 26 · Professional part | $57.54 | $77.62 | $117.49 |
Providence Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $107.15 Typical High $169.82 | Professional | TC · Technical part | $87.10 | $107.15 | $169.82 |
Regence BlueShield Setting Facility Modifier None Typical Low $691.83 Median $794.33 Typical High $1,047.13 | Facility | None | $691.83 | $794.33 | $1,047.13 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $181.97 Median $190.55 Typical High $257.04 | Professional | None (both parts) | $181.97 | $190.55 | $257.04 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $77.62 Typical High $107.15 | Professional | 26 · Professional part | $74.13 | $77.62 | $107.15 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $112.20 Typical High $154.88 | Professional | TC · Technical part | $107.15 | $112.20 | $154.88 |
United Setting Facility Modifier None Typical Low $758.58 Median $954.99 Typical High $1,174.90 | Facility | None | $758.58 | $954.99 | $1,174.90 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $275.42 Typical High $831.76 | Professional | None (both parts) | $234.42 | $275.42 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $123.03 | Professional | 26 · Professional part | $42.66 | $42.66 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $234.42 Typical High $707.95 | Professional | TC · Technical part | $190.55 | $234.42 | $707.95 |
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 $134.90 Median $169.82 Typical High $169.82 | Professional | 52 · Reduced service | $134.90 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $67.61 Typical High $67.61 | Professional | 53 · Discontinued | $53.70 | $67.61 | $67.61 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $147.91 Median $169.82 Typical High $169.82 | Professional | 52 · Reduced service | $147.91 | $169.82 | $169.82 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $67.61 Typical High $67.61 | Professional | 53 · Discontinued | $58.88 | $67.61 | $67.61 |
Where Oregon sits
The same service costs 3.6 times more in Nebraska 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· 29th of 51
$178
NE $407NJ $112
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.