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 $128.82 Median $147.91 Typical High $194.98 | Professional | None (both parts) | $128.82 | $147.91 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $26.30 Typical High $28.84 | Professional | 26 · Professional part | $21.38 | $26.30 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $120.23 Typical High $165.96 | Professional | TC · Technical part | $109.65 | $120.23 | $165.96 |
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 $154.88 Median $223.87 Typical High $302.00 | Professional | None (both parts) | $154.88 | $223.87 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $38.90 Typical High $56.23 | Professional | 26 · Professional part | $27.54 | $38.90 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $186.21 Typical High $245.47 | Professional | TC · Technical part | $128.82 | $186.21 | $245.47 |
Kaiser Permanente Setting Professional Modifier None Typical Low $213.80 Median $257.04 Typical High $295.12 | Professional | None | $213.80 | $257.04 | $295.12 |
Moda Health Setting Facility Modifier None Typical Low $147.91 Median $251.19 Typical High $1,949.84 | Facility | None | $147.91 | $251.19 | $1,949.84 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $128.82 Median $173.78 Typical High $269.15 | Professional | None (both parts) | $128.82 | $173.78 | $269.15 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $28.84 Typical High $48.98 | Professional | 26 · Professional part | $21.38 | $28.84 | $48.98 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $165.96 Typical High $229.09 | Professional | TC · Technical part | $109.65 | $165.96 | $229.09 |
Pacific Source Setting Facility Modifier None Typical Low $31.62 Median $158.49 Typical High $204.17 | Facility | None | $31.62 | $158.49 | $204.17 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $22.39 Median $38.90 Typical High $165.96 | Professional | None (both parts) | $22.39 | $38.90 | $165.96 |
Providence Setting Facility Modifier None Typical Low $213.80 Median $269.15 Typical High $1,230.27 | Facility | None | $213.80 | $269.15 | $1,230.27 |
Providence Setting Professional Modifier None (both parts) Typical Low $154.88 Median $229.09 Typical High $295.12 | Professional | None (both parts) | $154.88 | $229.09 | $295.12 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $42.66 Typical High $53.70 | Professional | 26 · Professional part | $26.92 | $42.66 | $53.70 |
Providence Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $181.97 Typical High $245.47 | Professional | TC · Technical part | $125.89 | $181.97 | $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 $199.53 Median $281.84 Typical High $302.00 | Professional | None (both parts) | $199.53 | $281.84 | $302.00 |
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 $87.10 Median $263.03 Typical High $354.81 | Professional | None (both parts) | $87.10 | $263.03 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $47.86 Typical High $64.57 | Professional | 26 · Professional part | $17.38 | $47.86 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $208.93 Typical High $288.40 | Professional | TC · Technical part | $69.18 | $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 5.0 times more in Alabama than in New York. 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· 12th of 51
$178
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.