How much rates vary
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 $3,235.94 Median $5,011.87 Typical High $7,943.28 | Facility | None | $3,235.94 | $5,011.87 | $7,943.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $416.87 Typical High $512.86 | Professional | None (both parts) | $316.23 | $416.87 | $512.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $109.65 Typical High $134.90 | Professional | 26 · Professional part | $87.10 | $109.65 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $309.03 Typical High $363.08 | Professional | TC · Technical part | $229.09 | $309.03 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $288.40 Typical High $660.69 | Facility | None | $223.87 | $288.40 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $512.86 Typical High $870.96 | Professional | None (both parts) | $398.11 | $512.86 | $870.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $151.36 Typical High $234.42 | Professional | 26 · Professional part | $117.49 | $151.36 | $234.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $389.05 Typical High $645.65 | Professional | TC · Technical part | $288.40 | $389.05 | $645.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $524.81 Median $588.84 Typical High $741.31 | Professional | None | $524.81 | $588.84 | $741.31 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $181.97 Typical High $218.78 | Professional | 26 · Professional part | $158.49 | $181.97 | $218.78 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $407.38 Typical High $524.81 | Professional | TC · Technical part | $363.08 | $407.38 | $524.81 |
Moda Health Setting Facility Modifier None Typical Low $602.56 Median $741.31 Typical High $7,943.28 | Facility | None | $602.56 | $741.31 | $7,943.28 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $346.74 Median $446.68 Typical High $741.31 | Professional | None (both parts) | $346.74 | $446.68 | $741.31 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $109.65 Typical High $213.80 | Professional | 26 · Professional part | $89.13 | $109.65 | $213.80 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $309.03 Typical High $524.81 | Professional | TC · Technical part | $257.04 | $309.03 | $524.81 |
Pacific Source Setting Facility Modifier None Typical Low $134.90 Median $338.84 Typical High $549.54 | Facility | None | $134.90 | $338.84 | $549.54 |
Providence Setting Facility Modifier None Typical Low $229.09 Median $331.13 Typical High $741.31 | Facility | None | $229.09 | $331.13 | $741.31 |
Providence Setting Professional Modifier None (both parts) Typical Low $416.87 Median $588.84 Typical High $891.25 | Professional | None (both parts) | $416.87 | $588.84 | $891.25 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $165.96 Typical High $245.47 | Professional | 26 · Professional part | $120.23 | $165.96 | $245.47 |
Providence Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $398.11 Typical High $645.65 | Professional | TC · Technical part | $269.15 | $398.11 | $645.65 |
Regence BlueShield Setting Facility Modifier None Typical Low $691.83 Median $933.25 Typical High $1,905.46 | Facility | None | $691.83 | $933.25 | $1,905.46 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $575.44 Median $602.56 Typical High $891.25 | Professional | None (both parts) | $575.44 | $602.56 | $891.25 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $165.96 Typical High $245.47 | Professional | 26 · Professional part | $158.49 | $165.96 | $245.47 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $436.52 Typical High $630.96 | Professional | TC · Technical part | $416.87 | $436.52 | $630.96 |
United Setting Facility Modifier None Typical Low $151.36 Median $295.12 Typical High $4,897.79 | Facility | None | $151.36 | $295.12 | $4,897.79 |
United Setting Professional Modifier None (both parts) Typical Low $436.52 Median $562.34 Typical High $954.99 | Professional | None (both parts) | $436.52 | $562.34 | $954.99 |
United Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $177.83 Typical High $288.40 | Professional | 26 · Professional part | $123.03 | $177.83 | $288.40 |
United Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $389.05 Typical High $676.08 | Professional | TC · Technical part | $309.03 | $389.05 | $676.08 |
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 $204.17 Median $208.93 Typical High $208.93 | Professional | 52 · Reduced service | $204.17 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $83.18 | $85.11 | $85.11 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | 52 · Reduced service | $208.93 | $208.93 | $208.93 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $85.11 | $85.11 | $85.11 |
Where Oregon sits
The same service costs 4.8 times more in Alaska than in Utah. 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· 20th of 51
$417
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.