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 $1,513.56 Median $1,513.56 Typical High $2,344.23 | Professional | None (both parts) | $1,513.56 | $1,513.56 | $2,344.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $151.36 Typical High $151.36 | Professional | 26 · Professional part | $95.50 | $151.36 | $151.36 |
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 $446.68 Median $741.31 Typical High $1,230.27 | Professional | None (both parts) | $446.68 | $741.31 | $1,230.27 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $123.03 Typical High $204.17 | Professional | 26 · Professional part | $72.44 | $123.03 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $616.60 Typical High $1,023.29 | Professional | TC · Technical part | $371.54 | $616.60 | $1,023.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $851.14 Median $1,023.29 Typical High $1,174.90 | Professional | None | $851.14 | $1,023.29 | $1,174.90 |
Moda Health Setting Facility Modifier None Typical Low $158.49 Median $1,023.29 Typical High $2,137.96 | Facility | None | $158.49 | $1,023.29 | $2,137.96 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $1,513.56 Typical High $2,344.23 | Professional | None (both parts) | $1,513.56 | $1,513.56 | $2,344.23 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $147.91 Typical High $190.55 | Professional | 26 · Professional part | $95.50 | $147.91 | $190.55 |
Pacific Source Setting Facility Modifier None Typical Low $114.82 Median $489.78 Typical High $870.96 | Facility | None | $114.82 | $489.78 | $870.96 |
Providence Setting Facility Modifier None Typical Low $158.49 Median $1,513.56 Typical High $4,168.69 | Facility | None | $158.49 | $1,513.56 | $4,168.69 |
Providence Setting Professional Modifier None (both parts) Typical Low $446.68 Median $1,202.26 Typical High $2,238,721.14 | Professional | None (both parts) | $446.68 | $1,202.26 | $2,238,721.14 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $147.91 Typical High $208.93 | Professional | 26 · Professional part | $72.44 | $147.91 | $208.93 |
Providence Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $912.01 Typical High $1,023.29 | Professional | TC · Technical part | $371.54 | $912.01 | $1,023.29 |
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 $870.96 Median $1,174.90 Typical High $1,258.93 | Professional | None (both parts) | $870.96 | $1,174.90 | $1,258.93 |
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 $1,148.15 Median $3,311.31 Typical High $4,897.79 | Professional | None (both parts) | $1,148.15 | $3,311.31 | $4,897.79 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $186.21 Typical High $251.19 | Professional | 26 · Professional part | $63.10 | $186.21 | $251.19 |
United Setting Professional Modifier TC · Technical part Typical Low $1,071.52 Median $3,090.30 Typical High $4,677.35 | Professional | TC · Technical part | $1,071.52 | $3,090.30 | $4,677.35 |
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 $1,047.13 Median $1,047.13 Typical High $1,348.96 | Facility | 53 · Discontinued | $1,047.13 | $1,047.13 | $1,348.96 |
Where Oregon sits
The same service costs 4.4 times more in Nebraska than in Washington. 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· 48th of 51
$871
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.