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 $138.04 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $138.04 | $147.91 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $229.09 Typical High $316.23 | Professional | None (both parts) | $162.18 | $229.09 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $42.66 Typical High $63.10 | Professional | 26 · Professional part | $30.20 | $42.66 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $186.21 Typical High $257.04 | Professional | TC · Technical part | $131.83 | $186.21 | $257.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $218.78 Median $263.03 Typical High $302.00 | Professional | None | $218.78 | $263.03 | $302.00 |
Moda Health Setting Facility Modifier None Typical Low $147.91 Median $281.84 Typical High $331.13 | Facility | None | $147.91 | $281.84 | $331.13 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $147.91 Median $199.53 Typical High $275.42 | Professional | None (both parts) | $147.91 | $199.53 | $275.42 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $162.18 Typical High $218.78 | Professional | TC · Technical part | $120.23 | $162.18 | $218.78 |
Pacific Source Setting Facility Modifier None Typical Low $36.31 Median $151.36 Typical High $213.80 | Facility | None | $36.31 | $151.36 | $213.80 |
Providence Setting Facility Modifier None Typical Low $218.78 Median $302.00 Typical High $1,230.27 | Facility | None | $218.78 | $302.00 | $1,230.27 |
Providence Setting Professional Modifier None (both parts) Typical Low $165.96 Median $251.19 Typical High $302.00 | Professional | None (both parts) | $165.96 | $251.19 | $302.00 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $48.98 Typical High $60.26 | Professional | 26 · Professional part | $32.36 | $48.98 | $60.26 |
Providence Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $194.98 Typical High $245.47 | Professional | TC · Technical part | $128.82 | $194.98 | $245.47 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,096.48 Median $1,412.54 Typical High $1,659.59 | Facility | None | $1,096.48 | $1,412.54 | $1,659.59 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $213.80 Median $288.40 Typical High $309.03 | Professional | None (both parts) | $213.80 | $288.40 | $309.03 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $1,584.89 Typical High $1,949.84 | Facility | None | $1,258.93 | $1,584.89 | $1,949.84 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $263.03 Typical High $363.08 | Professional | None (both parts) | $93.33 | $263.03 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $52.48 Typical High $70.79 | Professional | 26 · Professional part | $19.05 | $52.48 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $208.93 Typical High $288.40 | Professional | TC · Technical part | $74.13 | $208.93 | $288.40 |
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 $93.33 Median $93.33 Typical High $120.23 | Facility | 53 · Discontinued | $93.33 | $93.33 | $120.23 |
Where Oregon sits
The same service costs 5.1 times more in Alabama 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· 11th of 51
$191
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.