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 $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $389.05 Typical High $478.63 | Professional | None (both parts) | $194.98 | $389.05 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $109.65 Typical High $128.82 | Professional | 26 · Professional part | $70.79 | $109.65 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $275.42 Typical High $338.84 | Professional | TC · Technical part | $125.89 | $275.42 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $1,698.24 Typical High $2,041.74 | Facility | None | $1,174.90 | $1,698.24 | $2,041.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $436.52 Typical High $776.25 | Professional | None (both parts) | $281.84 | $436.52 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $131.83 Typical High $229.09 | Professional | 26 · Professional part | $95.50 | $131.83 | $229.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $309.03 Typical High $549.54 | Professional | TC · Technical part | $199.53 | $309.03 | $549.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $501.19 Median $602.56 Typical High $741.31 | Professional | None | $501.19 | $602.56 | $741.31 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $181.97 Typical High $213.80 | Professional | 26 · Professional part | $151.36 | $181.97 | $213.80 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $416.87 Typical High $537.03 | Professional | TC · Technical part | $354.81 | $416.87 | $537.03 |
Moda Health Setting Facility Modifier None Typical Low $389.05 Median $616.60 Typical High $2,630.27 | Facility | None | $389.05 | $616.60 | $2,630.27 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $218.78 Median $416.87 Typical High $812.83 | Professional | None (both parts) | $218.78 | $416.87 | $812.83 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $109.65 Typical High $281.84 | Professional | 26 · Professional part | $74.13 | $109.65 | $281.84 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $275.42 Typical High $436.52 | Professional | TC · Technical part | $138.04 | $275.42 | $436.52 |
Pacific Source Setting Facility Modifier None Typical Low $120.23 Median $295.12 Typical High $512.86 | Facility | None | $120.23 | $295.12 | $512.86 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $134.90 Median $218.78 Typical High $302.00 | Professional | None (both parts) | $134.90 | $218.78 | $302.00 |
Providence Setting Facility Modifier None Typical Low $467.74 Median $707.95 Typical High $1,698.24 | Facility | None | $467.74 | $707.95 | $1,698.24 |
Providence Setting Professional Modifier None (both parts) Typical Low $380.19 Median $501.19 Typical High $776.25 | Professional | None (both parts) | $380.19 | $501.19 | $776.25 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $154.88 Typical High $229.09 | Professional | 26 · Professional part | $112.20 | $154.88 | $229.09 |
Providence Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $331.13 Typical High $537.03 | Professional | TC · Technical part | $234.42 | $331.13 | $537.03 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,445.44 Median $1,905.46 Typical High $2,187.76 | Facility | None | $1,445.44 | $1,905.46 | $2,187.76 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $489.78 Median $512.86 Typical High $707.95 | Professional | None (both parts) | $489.78 | $512.86 | $707.95 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $151.36 Typical High $213.80 | Professional | 26 · Professional part | $144.54 | $151.36 | $213.80 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $363.08 Typical High $501.19 | Professional | TC · Technical part | $338.84 | $363.08 | $501.19 |
United Setting Facility Modifier None Typical Low $1,737.80 Median $2,187.76 Typical High $2,691.53 | Facility | None | $1,737.80 | $2,187.76 | $2,691.53 |
United Setting Professional Modifier None (both parts) Typical Low $251.19 Median $295.12 Typical High $812.83 | Professional | None (both parts) | $251.19 | $295.12 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $93.33 Typical High $245.47 | Professional | 26 · Professional part | $83.18 | $93.33 | $245.47 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $204.17 Typical High $575.44 | Professional | TC · Technical part | $173.78 | $204.17 | $575.44 |
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 $112.20 Median $194.98 Typical High $194.98 | Professional | 52 · Reduced service | $112.20 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $77.62 Typical High $77.62 | Professional | 53 · Discontinued | $44.67 | $77.62 | $77.62 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $194.98 Typical High $194.98 | Professional | 52 · Reduced service | $120.23 | $194.98 | $194.98 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $77.62 Typical High $77.62 | Professional | 53 · Discontinued | $47.86 | $77.62 | $77.62 |
Where Oregon sits
The same service costs 5.0 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
$447
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.