How much rates vary
Facilitymedian $562 · 10th to 90th $85 to $759Professionalmedian $692 · 10th to 90th $457 to $1,047
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 $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $478.63 Typical High $478.63 | Professional | None (both parts) | $323.59 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $58.88 Typical High $58.88 | Professional | 26 · Professional part | $43.65 | $58.88 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $416.87 Typical High $416.87 | Professional | TC · Technical part | $281.84 | $416.87 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $660.69 Typical High $1,148.15 | Professional | None (both parts) | $407.38 | $660.69 | $1,148.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $77.62 Typical High $134.90 | Professional | 26 · Professional part | $54.95 | $77.62 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $588.84 Typical High $1,023.29 | Professional | TC · Technical part | $363.08 | $588.84 | $1,023.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $776.25 Median $977.24 Typical High $1,148.15 | Professional | None | $776.25 | $977.24 | $1,148.15 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $107.15 Typical High $123.03 | Professional | 26 · Professional part | $87.10 | $107.15 | $123.03 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $870.96 Typical High $1,047.13 | Professional | TC · Technical part | $691.83 | $870.96 | $1,047.13 |
Moda Health Setting Facility Modifier None Typical Low $478.63 Median $794.33 Typical High $831.76 | Facility | None | $478.63 | $794.33 | $831.76 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $338.84 Median $478.63 Typical High $794.33 | Professional | None (both parts) | $338.84 | $478.63 | $794.33 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $58.88 Typical High $107.15 | Professional | 26 · Professional part | $43.65 | $58.88 | $107.15 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $416.87 Typical High $741.31 | Professional | TC · Technical part | $281.84 | $416.87 | $741.31 |
Pacific Source Setting Facility Modifier None Typical Low $75.86 Median $537.03 Typical High $741.31 | Facility | None | $75.86 | $537.03 | $741.31 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $616.60 | Professional | None (both parts) | $89.13 | $89.13 | $616.60 |
Providence Setting Facility Modifier None Typical Low $489.78 Median $794.33 Typical High $831.76 | Facility | None | $489.78 | $794.33 | $831.76 |
Providence Setting Professional Modifier None (both parts) Typical Low $457.09 Median $691.83 Typical High $1,096.48 | Professional | None (both parts) | $457.09 | $691.83 | $1,096.48 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $85.11 Typical High $128.82 | Professional | 26 · Professional part | $57.54 | $85.11 | $128.82 |
Providence Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $602.56 Typical High $977.24 | Professional | TC · Technical part | $398.11 | $602.56 | $977.24 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,445.44 Median $1,862.09 Typical High $2,187.76 | Facility | None | $1,445.44 | $1,862.09 | $2,187.76 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $691.83 Median $707.95 Typical High $758.58 | Professional | None (both parts) | $691.83 | $707.95 | $758.58 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $85.11 Typical High $89.13 | Professional | 26 · Professional part | $81.28 | $85.11 | $89.13 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $630.96 Typical High $660.69 | Professional | TC · Technical part | $616.60 | $630.96 | $660.69 |
United Setting Facility Modifier None Typical Low $2,754.23 Median $3,388.44 Typical High $4,265.80 | Facility | None | $2,754.23 | $3,388.44 | $4,265.80 |
United Setting Professional Modifier None (both parts) Typical Low $457.09 Median $691.83 Typical High $1,230.27 | Professional | None (both parts) | $457.09 | $691.83 | $1,230.27 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $93.33 Typical High $144.54 | Professional | 26 · Professional part | $63.10 | $93.33 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $602.56 Typical High $1,071.52 | Professional | TC · Technical part | $398.11 | $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 $199.53 Median $239.88 Typical High $239.88 | Professional | 52 · Reduced service | $199.53 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $95.50 Typical High $95.50 | Professional | 53 · Discontinued | $79.43 | $95.50 | $95.50 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $208.93 Median $239.88 Typical High $239.88 | Professional | 52 · Reduced service | $208.93 | $239.88 | $239.88 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $95.50 Typical High $95.50 | Professional | 53 · Discontinued | $83.18 | $95.50 | $95.50 |
Where Oregon sits
The same service costs 3.0 times more in Alaska 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· 7th of 51
$661
AK $813NM $275
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.