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 $562.34 Median $691.83 Typical High $758.58 | Facility | None | $562.34 | $691.83 | $758.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $416.87 Typical High $758.58 | Professional | None (both parts) | $371.54 | $416.87 | $758.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $112.20 Typical High $173.78 | Professional | 26 · Professional part | $85.11 | $112.20 | $173.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $309.03 Typical High $588.84 | Professional | TC · Technical part | $281.84 | $309.03 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $562.34 Typical High $562.34 | Facility | None | $346.74 | $562.34 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $457.09 Typical High $1,348.96 | Professional | None (both parts) | $436.52 | $457.09 | $1,348.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $114.82 Typical High $338.84 | Professional | 26 · Professional part | $109.65 | $114.82 | $338.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $346.74 Typical High $1,000.00 | Professional | TC · Technical part | $323.59 | $346.74 | $1,000.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $812.83 Median $933.25 Typical High $1,174.90 | Professional | None | $812.83 | $933.25 | $1,174.90 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $251.19 Typical High $295.12 | Professional | 26 · Professional part | $208.93 | $251.19 | $295.12 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $691.83 Typical High $870.96 | Professional | TC · Technical part | $602.56 | $691.83 | $870.96 |
Moda Health Setting Facility Modifier None Typical Low $524.81 Median $1,096.48 Typical High $2,454.71 | Facility | None | $524.81 | $1,096.48 | $2,454.71 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $371.54 Median $512.86 Typical High $1,122.02 | Professional | None (both parts) | $371.54 | $512.86 | $1,122.02 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $144.54 Typical High $331.13 | Professional | 26 · Professional part | $85.11 | $144.54 | $331.13 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $389.05 Typical High $831.76 | Professional | TC · Technical part | $281.84 | $389.05 | $831.76 |
Pacific Source Setting Facility Modifier None Typical Low $181.97 Median $537.03 Typical High $831.76 | Facility | None | $181.97 | $537.03 | $831.76 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $501.19 | Professional | None (both parts) | $190.55 | $190.55 | $501.19 |
Providence Setting Facility Modifier None Typical Low $371.54 Median $1,122.02 Typical High $1,819.70 | Facility | None | $371.54 | $1,122.02 | $1,819.70 |
Providence Setting Professional Modifier None (both parts) Typical Low $436.52 Median $851.14 Typical High $1,230.27 | Professional | None (both parts) | $436.52 | $851.14 | $1,230.27 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $218.78 Typical High $331.13 | Professional | 26 · Professional part | $109.65 | $218.78 | $331.13 |
Providence Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $630.96 Typical High $912.01 | Professional | TC · Technical part | $323.59 | $630.96 | $912.01 |
Regence BlueShield Setting Facility Modifier None Typical Low $524.81 Median $741.31 Typical High $851.14 | Facility | None | $524.81 | $741.31 | $851.14 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $776.25 Median $831.76 Typical High $1,148.15 | Professional | None (both parts) | $776.25 | $831.76 | $1,148.15 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $218.78 Typical High $309.03 | Professional | 26 · Professional part | $204.17 | $218.78 | $309.03 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $602.56 Typical High $851.14 | Professional | TC · Technical part | $575.44 | $602.56 | $851.14 |
United Setting Facility Modifier None Typical Low $562.34 Median $691.83 Typical High $870.96 | Facility | None | $562.34 | $691.83 | $870.96 |
United Setting Professional Modifier None (both parts) Typical Low $380.19 Median $831.76 Typical High $1,348.96 | Professional | None (both parts) | $380.19 | $831.76 | $1,348.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $204.17 Typical High $363.08 | Professional | 26 · Professional part | $102.33 | $204.17 | $363.08 |
United Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $602.56 Typical High $977.24 | Professional | TC · Technical part | $281.84 | $602.56 | $977.24 |
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 $144.54 Median $186.21 Typical High $199.53 | Professional | 52 · Reduced service | $144.54 | $186.21 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $74.13 Typical High $79.43 | Professional | 53 · Discontinued | $57.54 | $74.13 | $79.43 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $141.25 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $141.25 | $186.21 | $186.21 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $56.23 | $74.13 | $74.13 |
Where Oregon sits
The same service costs 6.8 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· 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.