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 $234.42 Median $281.84 Typical High $281.84 | Professional | None (both parts) | $234.42 | $281.84 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $398.11 Typical High $562.34 | Professional | None (both parts) | $281.84 | $398.11 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $77.62 Typical High $112.20 | Professional | 26 · Professional part | $53.70 | $77.62 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $323.59 Typical High $446.68 | Professional | TC · Technical part | $229.09 | $323.59 | $446.68 |
Kaiser Permanente Setting Professional Modifier None Typical Low $380.19 Median $457.09 Typical High $524.81 | Professional | None | $380.19 | $457.09 | $524.81 |
Moda Health Setting Facility Modifier None Typical Low $281.84 Median $478.63 Typical High $562.34 | Facility | None | $281.84 | $478.63 | $562.34 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $281.84 Median $331.13 Typical High $478.63 | Professional | None (both parts) | $281.84 | $331.13 | $478.63 |
Pacific Source Setting Facility Modifier None Typical Low $63.10 Median $275.42 Typical High $371.54 | Facility | None | $63.10 | $275.42 | $371.54 |
Providence Setting Facility Modifier None Typical Low $380.19 Median $489.78 Typical High $1,659.59 | Facility | None | $380.19 | $489.78 | $1,659.59 |
Providence Setting Professional Modifier None (both parts) Typical Low $281.84 Median $436.52 Typical High $537.03 | Professional | None (both parts) | $281.84 | $436.52 | $537.03 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $81.28 Typical High $107.15 | Professional | 26 · Professional part | $53.70 | $81.28 | $107.15 |
Providence Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $338.84 Typical High $426.58 | Professional | TC · Technical part | $223.87 | $338.84 | $426.58 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,412.54 Median $1,737.80 Typical High $2,187.76 | Facility | None | $1,412.54 | $1,737.80 | $2,187.76 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $371.54 Median $501.19 Typical High $549.54 | Professional | None (both parts) | $371.54 | $501.19 | $549.54 |
United Setting Facility Modifier None Typical Low $1,737.80 Median $2,137.96 Typical High $2,691.53 | Facility | None | $1,737.80 | $2,137.96 | $2,691.53 |
United Setting Professional Modifier None (both parts) Typical Low $169.82 Median $478.63 Typical High $630.96 | Professional | None (both parts) | $169.82 | $478.63 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $93.33 Typical High $128.82 | Professional | 26 · Professional part | $33.88 | $93.33 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $380.19 Typical High $501.19 | Professional | TC · Technical part | $134.90 | $380.19 | $501.19 |
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 $177.83 Median $177.83 Typical High $229.09 | Facility | 53 · Discontinued | $177.83 | $177.83 | $229.09 |
Where Oregon sits
The same service costs 4.7 times more in Alaska than in Texas. 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
$324
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.