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 $371.54 Median $602.56 Typical High $602.56 | Professional | None (both parts) | $371.54 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $114.82 Typical High $114.82 | Professional | 26 · Professional part | $85.11 | $114.82 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $478.63 Typical High $478.63 | Professional | TC · Technical part | $257.04 | $478.63 | $478.63 |
Cigna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $691.83 Typical High $1,348.96 | Professional | None (both parts) | $426.58 | $691.83 | $1,348.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $154.88 Typical High $281.84 | Professional | 26 · Professional part | $107.15 | $154.88 | $281.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $549.54 Typical High $1,071.52 | Professional | TC · Technical part | $323.59 | $549.54 | $1,071.52 |
Kaiser Permanente Setting Professional Modifier None Typical Low $758.58 Median $954.99 Typical High $1,122.02 | Professional | None | $758.58 | $954.99 | $1,122.02 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $213.80 Typical High $245.47 | Professional | 26 · Professional part | $173.78 | $213.80 | $245.47 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $724.44 Typical High $870.96 | Professional | TC · Technical part | $575.44 | $724.44 | $870.96 |
Moda Health Setting Facility Modifier None Typical Low $489.78 Median $851.14 Typical High $7,943.28 | Facility | None | $489.78 | $851.14 | $7,943.28 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $389.05 Median $602.56 Typical High $912.01 | Professional | None (both parts) | $389.05 | $602.56 | $912.01 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $114.82 Typical High $213.80 | Professional | 26 · Professional part | $100.00 | $114.82 | $213.80 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $478.63 Typical High $724.44 | Professional | TC · Technical part | $263.03 | $478.63 | $724.44 |
Pacific Source Setting Facility Modifier None Typical Low $144.54 Median $331.13 Typical High $707.95 | Facility | None | $144.54 | $331.13 | $707.95 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $173.78 Median $186.21 Typical High $691.83 | Professional | None (both parts) | $173.78 | $186.21 | $691.83 |
Providence Setting Facility Modifier None Typical Low $489.78 Median $645.65 Typical High $11,481.54 | Facility | None | $489.78 | $645.65 | $11,481.54 |
Providence Setting Professional Modifier None (both parts) Typical Low $426.58 Median $758.58 Typical High $1,288.25 | Professional | None (both parts) | $426.58 | $758.58 | $1,288.25 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $165.96 Typical High $269.15 | Professional | 26 · Professional part | $112.20 | $165.96 | $269.15 |
Providence Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $524.81 Typical High $1,023.29 | Professional | TC · Technical part | $269.15 | $524.81 | $1,023.29 |
Regence BlueShield Setting Facility Modifier None Typical Low $691.83 Median $851.14 Typical High $1,047.13 | Facility | None | $691.83 | $851.14 | $1,047.13 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $812.83 Median $831.76 Typical High $870.96 | Professional | None (both parts) | $812.83 | $831.76 | $870.96 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $173.78 Typical High $186.21 | Professional | 26 · Professional part | $169.82 | $173.78 | $186.21 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $660.69 Typical High $691.83 | Professional | TC · Technical part | $645.65 | $660.69 | $691.83 |
United Setting Facility Modifier None Typical Low $794.33 Median $4,897.79 Typical High $6,165.95 | Facility | None | $794.33 | $4,897.79 | $6,165.95 |
United Setting Professional Modifier None (both parts) Typical Low $407.38 Median $741.31 Typical High $1,348.96 | Professional | None (both parts) | $407.38 | $741.31 | $1,348.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $186.21 Typical High $295.12 | Professional | 26 · Professional part | $114.82 | $186.21 | $295.12 |
United Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $562.34 Typical High $1,047.13 | Professional | TC · Technical part | $295.12 | $562.34 | $1,047.13 |
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 $245.47 Median $295.12 Typical High $295.12 | Professional | 52 · Reduced service | $245.47 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $97.72 | $120.23 | $120.23 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $269.15 Median $295.12 Typical High $295.12 | Professional | 52 · Reduced service | $269.15 | $295.12 | $295.12 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $109.65 | $120.23 | $120.23 |
Where Oregon sits
The same service costs 6.5 times more in Alaska than in Kentucky. 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· 9th of 51
$692
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.