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 TC · Technical part Typical Low $630.96 Median $630.96 Typical High $794.33 | Facility | TC · Technical part | $630.96 | $630.96 | $794.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $275.42 Typical High $338.84 | Professional | None (both parts) | $134.90 | $275.42 | $338.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $117.49 Typical High $138.04 | Professional | 26 · Professional part | $75.86 | $117.49 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $162.18 Typical High $194.98 | Professional | TC · Technical part | $57.54 | $162.18 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $331.13 Typical High $562.34 | Professional | None (both parts) | $218.78 | $331.13 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $141.25 Typical High $251.19 | Professional | 26 · Professional part | $102.33 | $141.25 | $251.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $190.55 Typical High $316.23 | Professional | TC · Technical part | $125.89 | $190.55 | $316.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $371.54 Median $446.68 Typical High $549.54 | Professional | None | $371.54 | $446.68 | $549.54 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $194.98 Typical High $234.42 | Professional | 26 · Professional part | $162.18 | $194.98 | $234.42 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $251.19 Typical High $316.23 | Professional | TC · Technical part | $213.80 | $251.19 | $316.23 |
Moda Health Setting Facility Modifier None Typical Low $354.81 Median $467.74 Typical High $588.84 | Facility | None | $354.81 | $467.74 | $588.84 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $151.36 Median $288.40 Typical High $575.44 | Professional | None (both parts) | $151.36 | $288.40 | $575.44 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $117.49 Typical High $218.78 | Professional | 26 · Professional part | $75.86 | $117.49 | $218.78 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $162.18 Typical High $263.03 | Professional | TC · Technical part | $64.57 | $162.18 | $263.03 |
Pacific Source Setting Facility Modifier None Typical Low $125.89 Median $208.93 Typical High $389.05 | Facility | None | $125.89 | $208.93 | $389.05 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $169.82 Median $204.17 Typical High $245.47 | Professional | None (both parts) | $169.82 | $204.17 | $245.47 |
Providence Setting Facility Modifier None Typical Low $354.81 Median $501.19 Typical High $831.76 | Facility | None | $354.81 | $501.19 | $831.76 |
Providence Setting Professional Modifier None (both parts) Typical Low $288.40 Median $380.19 Typical High $562.34 | Professional | None (both parts) | $288.40 | $380.19 | $562.34 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $165.96 Typical High $245.47 | Professional | 26 · Professional part | $123.03 | $165.96 | $245.47 |
Providence Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $208.93 Typical High $316.23 | Professional | TC · Technical part | $154.88 | $208.93 | $316.23 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $354.81 Median $371.54 Typical High $524.81 | Professional | None (both parts) | $354.81 | $371.54 | $524.81 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $162.18 Typical High $234.42 | Professional | 26 · Professional part | $154.88 | $162.18 | $234.42 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $213.80 Typical High $295.12 | Professional | TC · Technical part | $199.53 | $213.80 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $204.17 Median $229.09 Typical High $588.84 | Professional | None (both parts) | $204.17 | $229.09 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $100.00 Typical High $263.03 | Professional | 26 · Professional part | $89.13 | $100.00 | $263.03 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $128.82 Typical High $331.13 | Professional | TC · Technical part | $112.20 | $128.82 | $331.13 |
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 $81.28 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $81.28 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $32.36 | $54.95 | $54.95 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $89.13 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $89.13 | $138.04 | $138.04 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $35.48 | $54.95 | $54.95 |
Where Oregon sits
The same service costs 5.8 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· 8th of 51
$339
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.