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 Professional Modifier None (both parts) Typical Low $741.31 Median $1,047.13 Typical High $1,288.25 | Professional | None (both parts) | $741.31 | $1,047.13 | $1,288.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $489.78 Median $562.34 Typical High $724.44 | Professional | 26 · Professional part | $489.78 | $562.34 | $724.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $512.86 Typical High $676.08 | Professional | TC · Technical part | $251.19 | $512.86 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Facility | None | $2,238.72 | $2,238.72 | $2,238.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $1,819.70 Typical High $2,818.38 | Professional | None (both parts) | $1,412.54 | $1,819.70 | $2,818.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $676.08 Median $933.25 Typical High $1,412.54 | Professional | 26 · Professional part | $676.08 | $933.25 | $1,412.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $933.25 Typical High $1,412.54 | Professional | TC · Technical part | $676.08 | $933.25 | $1,412.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,949.84 Median $2,290.87 Typical High $2,630.27 | Professional | None | $1,949.84 | $2,290.87 | $2,630.27 |
Moda Health Setting Facility Modifier None Typical Low $1,148.15 Median $1,819.70 Typical High $2,238.72 | Facility | None | $1,148.15 | $1,819.70 | $2,238.72 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $741.31 Median $1,148.15 Typical High $2,137.96 | Professional | None (both parts) | $741.31 | $1,148.15 | $2,137.96 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $489.78 Median $588.84 Typical High $1,096.48 | Professional | 26 · Professional part | $489.78 | $588.84 | $1,096.48 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $562.34 Typical High $1,096.48 | Professional | TC · Technical part | $251.19 | $562.34 | $1,096.48 |
Pacific Source Setting Facility Modifier None Typical Low $524.81 Median $912.01 Typical High $1,737.80 | Facility | None | $524.81 | $912.01 | $1,737.80 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $707.95 Median $707.95 Typical High $724.44 | Professional | None (both parts) | $707.95 | $707.95 | $724.44 |
Providence Setting Facility Modifier None Typical Low $1,513.56 Median $2,238.72 Typical High $3,981.07 | Facility | None | $1,513.56 | $2,238.72 | $3,981.07 |
Providence Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,905.46 Typical High $2,691.53 | Professional | None (both parts) | $1,288.25 | $1,905.46 | $2,691.53 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $676.08 Median $1,071.52 Typical High $1,348.96 | Professional | 26 · Professional part | $676.08 | $1,071.52 | $1,348.96 |
Providence Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $851.14 Typical High $1,380.38 | Professional | TC · Technical part | $457.09 | $851.14 | $1,380.38 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,041.74 Median $2,454.71 Typical High $3,311.31 | Facility | None | $2,041.74 | $2,454.71 | $3,311.31 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $1,698.24 Median $2,290.87 Typical High $2,754.23 | Professional | None (both parts) | $1,698.24 | $2,290.87 | $2,754.23 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $851.14 Median $1,122.02 Typical High $1,348.96 | Professional | 26 · Professional part | $851.14 | $1,122.02 | $1,348.96 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $1,148.15 Typical High $1,380.38 | Professional | TC · Technical part | $870.96 | $1,148.15 | $1,380.38 |
United Setting Facility Modifier None Typical Low $2,187.76 Median $2,754.23 Typical High $3,467.37 | Facility | None | $2,187.76 | $2,754.23 | $3,467.37 |
United Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,778.28 Typical High $3,235.94 | Professional | None (both parts) | $1,071.52 | $1,778.28 | $3,235.94 |
United Setting Professional Modifier 26 · Professional part Typical Low $588.84 Median $954.99 Typical High $1,621.81 | Professional | 26 · Professional part | $588.84 | $954.99 | $1,621.81 |
United Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $912.01 Typical High $1,621.81 | Professional | TC · Technical part | $363.08 | $912.01 | $1,621.81 |
1 more rate 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 Facility Modifier 78 · Unplanned return to OR Typical Low $1,548.82 Median $1,548.82 Typical High $1,995.26 | Facility | 78 · Unplanned return to OR | $1,548.82 | $1,548.82 | $1,995.26 |
Where Oregon sits
The same service costs 5.6 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· 10th of 51
$1,413
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.