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 $331.13 Median $331.13 Typical High $426.58 | Facility | TC · Technical part | $331.13 | $331.13 | $426.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $218.78 Typical High $218.78 | Professional | None (both parts) | $162.18 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $131.83 Typical High $131.83 | Professional | 26 · Professional part | $97.72 | $131.83 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $85.11 Typical High $85.11 | Professional | TC · Technical part | $63.10 | $85.11 | $85.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $263.03 Typical High $446.68 | Professional | None (both parts) | $213.80 | $263.03 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $158.49 Typical High $269.15 | Professional | 26 · Professional part | $128.82 | $158.49 | $269.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $104.71 Typical High $173.78 | Professional | TC · Technical part | $83.18 | $104.71 | $173.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $281.84 Median $354.81 Typical High $436.52 | Professional | None | $281.84 | $354.81 | $436.52 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $218.78 Typical High $263.03 | Professional | 26 · Professional part | $190.55 | $218.78 | $263.03 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $138.04 Typical High $173.78 | Professional | TC · Technical part | $117.49 | $138.04 | $173.78 |
Moda Health Setting Facility Modifier None Typical Low $218.78 Median $281.84 Typical High $398.11 | Facility | None | $218.78 | $281.84 | $398.11 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $169.82 Median $218.78 Typical High $218.78 | Professional | None (both parts) | $169.82 | $218.78 | $218.78 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $131.83 Typical High $263.03 | Professional | 26 · Professional part | $109.65 | $131.83 | $263.03 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $85.11 Typical High $85.11 | Professional | TC · Technical part | $66.07 | $85.11 | $85.11 |
Pacific Source Setting Facility Modifier None Typical Low $5.01 Median $107.15 Typical High $199.53 | Facility | None | $5.01 | $107.15 | $199.53 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $3.02 Median $10.23 Typical High $194.98 | Professional | None (both parts) | $3.02 | $10.23 | $194.98 |
Providence Setting Facility Modifier None Typical Low $218.78 Median $281.84 Typical High $398.11 | Facility | None | $218.78 | $281.84 | $398.11 |
Providence Setting Professional Modifier None (both parts) Typical Low $234.42 Median $288.40 Typical High $478.63 | Professional | None (both parts) | $234.42 | $288.40 | $478.63 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $190.55 Typical High $288.40 | Professional | 26 · Professional part | $141.25 | $190.55 | $288.40 |
Providence Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $114.82 Typical High $181.97 | Professional | TC · Technical part | $93.33 | $114.82 | $181.97 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $295.12 Median $309.03 Typical High $416.87 | Professional | None (both parts) | $295.12 | $309.03 | $416.87 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $194.98 Typical High $257.04 | Professional | 26 · Professional part | $181.97 | $194.98 | $257.04 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $117.49 Typical High $158.49 | Professional | TC · Technical part | $112.20 | $117.49 | $158.49 |
United Setting Professional Modifier None (both parts) Typical Low $177.83 Median $181.97 Typical High $512.86 | Professional | None (both parts) | $177.83 | $181.97 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $104.71 Typical High $302.00 | Professional | 26 · Professional part | $104.71 | $104.71 | $302.00 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $74.13 Typical High $218.78 | Professional | TC · Technical part | $72.44 | $74.13 | $218.78 |
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 $87.10 Median $109.65 Typical High $109.65 | Professional | 52 · Reduced service | $87.10 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $43.65 Typical High $43.65 | Professional | 53 · Discontinued | $34.67 | $43.65 | $43.65 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $109.65 Typical High $109.65 | Professional | 52 · Reduced service | $93.33 | $109.65 | $109.65 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $43.65 Typical High $43.65 | Professional | 53 · Discontinued | $37.15 | $43.65 | $43.65 |
Where Oregon sits
The same service costs 4.2 times more in Alaska than in Florida. 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· 14th of 51
$219
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.