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 $331.13 Median $380.19 Typical High $524.81 | Facility | None | $331.13 | $380.19 | $524.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $288.40 Typical High $398.11 | Professional | None (both parts) | $177.83 | $288.40 | $398.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $85.11 Typical High $120.23 | Professional | 26 · Professional part | $57.54 | $85.11 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $223.87 Typical High $281.84 | Professional | TC · Technical part | $117.49 | $223.87 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $346.74 Typical High $346.74 | Facility | None | $114.82 | $346.74 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $181.97 Typical High $575.44 | Professional | None (both parts) | $165.96 | $181.97 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $63.10 Typical High $186.21 | Professional | 26 · Professional part | $60.26 | $63.10 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $134.90 Typical High $380.19 | Professional | TC · Technical part | $107.15 | $134.90 | $380.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $316.23 Median $363.08 Typical High $446.68 | Professional | None | $316.23 | $363.08 | $446.68 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $134.90 Typical High $158.49 | Professional | 26 · Professional part | $112.20 | $134.90 | $158.49 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $229.09 Typical High $288.40 | Professional | TC · Technical part | $199.53 | $229.09 | $288.40 |
Moda Health Setting Facility Modifier None Typical Low $275.42 Median $707.95 Typical High $1,548.82 | Facility | None | $275.42 | $707.95 | $1,548.82 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $234.42 Median $575.44 Typical High $1,096.48 | Facility | TC · Technical part | $234.42 | $575.44 | $1,096.48 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $218.78 Median $371.54 Typical High $524.81 | Professional | None (both parts) | $218.78 | $371.54 | $524.81 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $85.11 Typical High $190.55 | Professional | 26 · Professional part | $60.26 | $85.11 | $190.55 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $223.87 Typical High $346.74 | Professional | TC · Technical part | $125.89 | $223.87 | $346.74 |
Pacific Source Setting Facility Modifier None Typical Low $104.71 Median $229.09 Typical High $436.52 | Facility | None | $104.71 | $229.09 | $436.52 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $85.11 Median $144.54 Typical High $204.17 | Professional | None (both parts) | $85.11 | $144.54 | $204.17 |
Providence Setting Facility Modifier None Typical Low $346.74 Median $478.63 Typical High $776.25 | Facility | None | $346.74 | $478.63 | $776.25 |
Providence Setting Professional Modifier None (both parts) Typical Low $165.96 Median $407.38 Typical High $575.44 | Professional | None (both parts) | $165.96 | $407.38 | $575.44 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $117.49 Typical High $177.83 | Professional | 26 · Professional part | $60.26 | $117.49 | $177.83 |
Providence Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $288.40 Typical High $436.52 | Professional | TC · Technical part | $107.15 | $288.40 | $436.52 |
Regence BlueShield Setting Facility Modifier None Typical Low $309.03 Median $389.05 Typical High $501.19 | Facility | None | $309.03 | $389.05 | $501.19 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $302.00 Median $316.23 Typical High $489.78 | Professional | None (both parts) | $302.00 | $316.23 | $489.78 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $117.49 Typical High $165.96 | Professional | 26 · Professional part | $112.20 | $117.49 | $165.96 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $199.53 Typical High $331.13 | Professional | TC · Technical part | $190.55 | $199.53 | $331.13 |
United Setting Facility Modifier None Typical Low $331.13 Median $416.87 Typical High $512.86 | Facility | None | $331.13 | $416.87 | $512.86 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $354.81 Typical High $562.34 | Professional | None (both parts) | $173.78 | $354.81 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $112.20 Typical High $194.98 | Professional | 26 · Professional part | $54.95 | $112.20 | $194.98 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $239.88 Typical High $398.11 | Professional | TC · Technical part | $117.49 | $239.88 | $398.11 |
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 $83.18 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $83.18 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $33.11 | $74.13 | $74.13 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $81.28 | $186.21 | $186.21 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $32.36 | $74.13 | $74.13 |
Where Oregon sits
The same service costs 6.2 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· 10th of 51
$324
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.