How much rates vary
Facilitymedian $282 · 10th to 90th $7 to $7,943Professionalmedian $813 · 10th to 90th $457 to $1,148
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 None Typical Low $5,128.61 Median $13,489.63 Typical High $33,884.42 | Facility | None | $5,128.61 | $13,489.63 | $33,884.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $537.03 Median $575.44 Typical High $575.44 | Professional | None (both parts) | $537.03 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $223.87 Typical High $223.87 | Professional | 26 · Professional part | $204.17 | $223.87 | $223.87 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $354.81 Typical High $354.81 | Professional | TC · Technical part | $331.13 | $354.81 | $354.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $489.78 Typical High $1,148.15 | Professional | None (both parts) | $436.52 | $489.78 | $1,148.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $194.98 Typical High $436.52 | Professional | 26 · Professional part | $165.96 | $194.98 | $436.52 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $295.12 Typical High $707.95 | Professional | TC · Technical part | $269.15 | $295.12 | $707.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $812.83 Median $954.99 Typical High $1,202.26 | Professional | None | $812.83 | $954.99 | $1,202.26 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $380.19 Typical High $457.09 | Professional | 26 · Professional part | $309.03 | $380.19 | $457.09 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $489.78 Median $588.84 Typical High $741.31 | Professional | TC · Technical part | $489.78 | $588.84 | $741.31 |
Moda Health Setting Facility Modifier None Typical Low $501.19 Median $1,096.48 Typical High $33,884.42 | Facility | None | $501.19 | $1,096.48 | $33,884.42 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $549.54 Median $575.44 Typical High $575.44 | Professional | None (both parts) | $549.54 | $575.44 | $575.44 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $223.87 Typical High $380.19 | Professional | 26 · Professional part | $194.98 | $223.87 | $380.19 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $354.81 Typical High $354.81 | Professional | TC · Technical part | $346.74 | $354.81 | $354.81 |
Pacific Source Setting Facility Modifier None Typical Low $7.24 Median $181.97 Typical High $354.81 | Facility | None | $7.24 | $181.97 | $354.81 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $7.24 Median $7.24 Typical High $407.38 | Professional | None (both parts) | $7.24 | $7.24 | $407.38 |
Providence Setting Facility Modifier None Typical Low $416.87 Median $575.44 Typical High $1,096.48 | Facility | None | $416.87 | $575.44 | $1,096.48 |
Providence Setting Professional Modifier None (both parts) Typical Low $436.52 Median $707.95 Typical High $1,202.26 | Professional | None (both parts) | $436.52 | $707.95 | $1,202.26 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $257.04 Typical High $446.68 | Professional | 26 · Professional part | $165.96 | $257.04 | $446.68 |
Providence Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $389.05 Typical High $741.31 | Professional | TC · Technical part | $269.15 | $389.05 | $741.31 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $794.33 Median $812.83 Typical High $851.14 | Professional | None (both parts) | $794.33 | $812.83 | $851.14 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $323.59 Typical High $346.74 | Professional | 26 · Professional part | $316.23 | $323.59 | $346.74 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $489.78 Typical High $512.86 | Professional | TC · Technical part | $478.63 | $489.78 | $512.86 |
United Setting Facility Modifier None Typical Low $4,365.16 Median $12,589.25 Typical High $14,125.38 | Facility | None | $4,365.16 | $12,589.25 | $14,125.38 |
United Setting Professional Modifier None (both parts) Typical Low $660.69 Median $954.99 Typical High $1,621.81 | Professional | None (both parts) | $660.69 | $954.99 | $1,621.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $363.08 Typical High $549.54 | Professional | 26 · Professional part | $263.03 | $363.08 | $549.54 |
United Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $602.56 Typical High $1,071.52 | Professional | TC · Technical part | $436.52 | $602.56 | $1,071.52 |
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 $275.42 Median $288.40 Typical High $288.40 | Professional | 52 · Reduced service | $275.42 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $117.49 Typical High $117.49 | Professional | 53 · Discontinued | $112.20 | $117.49 | $117.49 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | 52 · Reduced service | $288.40 | $288.40 | $288.40 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 53 · Discontinued | $117.49 | $117.49 | $117.49 |
Where Oregon sits
The same service costs 3.0 times more in Wisconsin than in North Carolina. 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· 11th of 51
$794
WI $1,000NC $331
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.