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 $89.13 Median $97.72 Typical High $97.72 | Professional | None (both parts) | $89.13 | $97.72 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $4,168.69 | Facility | None | $4,168.69 | $4,168.69 | $4,168.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $147.91 Typical High $213.80 | Professional | None (both parts) | $107.15 | $147.91 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $15.85 Typical High $22.91 | Professional | 26 · Professional part | $11.22 | $15.85 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $134.90 Typical High $190.55 | Professional | TC · Technical part | $95.50 | $134.90 | $190.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $147.91 Median $177.83 Typical High $204.17 | Professional | None | $147.91 | $177.83 | $204.17 |
Moda Health Setting Facility Modifier None Typical Low $97.72 Median $177.83 Typical High $251.19 | Facility | None | $97.72 | $177.83 | $251.19 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $97.72 Median $128.82 Typical High $181.97 | Professional | None (both parts) | $97.72 | $128.82 | $181.97 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $112.20 Typical High $162.18 | Professional | TC · Technical part | $87.10 | $112.20 | $162.18 |
Pacific Source Setting Facility Modifier None Typical Low $14.79 Median $114.82 Typical High $173.78 | Facility | None | $14.79 | $114.82 | $173.78 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $9.33 Median $9.33 Typical High $70.79 | Professional | None (both parts) | $9.33 | $9.33 | $70.79 |
Providence Setting Facility Modifier None Typical Low $125.89 Median $199.53 Typical High $4,168.69 | Facility | None | $125.89 | $199.53 | $4,168.69 |
Providence Setting Professional Modifier None (both parts) Typical Low $109.65 Median $173.78 Typical High $204.17 | Professional | None (both parts) | $109.65 | $173.78 | $204.17 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $18.20 Typical High $22.39 | Professional | 26 · Professional part | $11.75 | $18.20 | $22.39 |
Providence Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $138.04 Typical High $181.97 | Professional | TC · Technical part | $95.50 | $138.04 | $181.97 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,801.89 Median $4,570.88 Typical High $5,754.40 | Facility | None | $3,801.89 | $4,570.88 | $5,754.40 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $144.54 Median $194.98 Typical High $204.17 | Professional | None (both parts) | $144.54 | $194.98 | $204.17 |
United Setting Facility Modifier None Typical Low $4,073.80 Median $5,128.61 Typical High $6,309.57 | Facility | None | $4,073.80 | $5,128.61 | $6,309.57 |
United Setting Professional Modifier None (both parts) Typical Low $61.66 Median $173.78 Typical High $239.88 | Professional | None (both parts) | $61.66 | $173.78 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $19.95 Typical High $26.30 | Professional | 26 · Professional part | $7.08 | $19.95 | $26.30 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $154.88 Typical High $213.80 | Professional | TC · Technical part | $53.70 | $154.88 | $213.80 |
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 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $87.10 | Facility | 53 · Discontinued | $69.18 | $69.18 | $87.10 |
Where Oregon sits
The same service costs 8.1 times more in Alabama than in Indiana. 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· 11th of 51
$126
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.