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 $181.97 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $181.97 | $288.40 | $288.40 |
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 $263.03 Median $407.38 Typical High $549.54 | Professional | None (both parts) | $263.03 | $407.38 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $47.86 Typical High $67.61 | Professional | 26 · Professional part | $33.88 | $47.86 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $363.08 Typical High $489.78 | Professional | TC · Technical part | $229.09 | $363.08 | $489.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $346.74 Median $416.87 Typical High $478.63 | Professional | None | $346.74 | $416.87 | $478.63 |
Moda Health Setting Facility Modifier None Typical Low $288.40 Median $416.87 Typical High $478.63 | Facility | None | $288.40 | $416.87 | $478.63 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $251.19 Median $288.40 Typical High $446.68 | Professional | None (both parts) | $251.19 | $288.40 | $446.68 |
Pacific Source Setting Facility Modifier None Typical Low $38.90 Median $245.47 Typical High $363.08 | Facility | None | $38.90 | $245.47 | $363.08 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $45.71 Median $45.71 Typical High $295.12 | Professional | None (both parts) | $45.71 | $45.71 | $295.12 |
Providence Setting Facility Modifier None Typical Low $269.15 Median $501.19 Typical High $1,230.27 | Facility | None | $269.15 | $501.19 | $1,230.27 |
Providence Setting Professional Modifier None (both parts) Typical Low $245.47 Median $407.38 Typical High $549.54 | Professional | None (both parts) | $245.47 | $407.38 | $549.54 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $47.86 Typical High $70.79 | Professional | 26 · Professional part | $33.88 | $47.86 | $70.79 |
Providence Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $331.13 Typical High $478.63 | Professional | TC · Technical part | $204.17 | $331.13 | $478.63 |
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 $389.05 Median $478.63 Typical High $562.34 | Professional | None (both parts) | $389.05 | $478.63 | $562.34 |
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 $158.49 Median $467.74 Typical High $588.84 | Professional | None (both parts) | $158.49 | $467.74 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $61.66 Typical High $81.28 | Professional | 26 · Professional part | $20.42 | $61.66 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $398.11 Typical High $512.86 | Professional | TC · Technical part | $138.04 | $398.11 | $512.86 |
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 $199.53 Median $199.53 Typical High $257.04 | Facility | 53 · Discontinued | $199.53 | $199.53 | $257.04 |
Where Oregon sits
The same service costs 5.5 times more in Alaska than in Kentucky. 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
$302
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.