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 $199.53 Median $245.47 Typical High $302.00 | Professional | None (both parts) | $199.53 | $245.47 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $19.05 Typical High $21.88 | Professional | 26 · Professional part | $14.79 | $19.05 | $21.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $229.09 Typical High $275.42 | Professional | TC · Technical part | $186.21 | $229.09 | $275.42 |
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 $245.47 Median $354.81 Typical High $501.19 | Professional | None (both parts) | $245.47 | $354.81 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $28.84 Typical High $41.69 | Professional | 26 · Professional part | $19.95 | $28.84 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $323.59 Typical High $457.09 | Professional | TC · Technical part | $223.87 | $323.59 | $457.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $323.59 Median $389.05 Typical High $457.09 | Professional | None | $323.59 | $389.05 | $457.09 |
Moda Health Setting Facility Modifier None Typical Low $245.47 Median $389.05 Typical High $478.63 | Facility | None | $245.47 | $389.05 | $478.63 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $199.53 Median $281.84 Typical High $416.87 | Professional | None (both parts) | $199.53 | $281.84 | $416.87 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $21.88 Typical High $35.48 | Professional | 26 · Professional part | $14.79 | $21.88 | $35.48 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $275.42 Typical High $380.19 | Professional | TC · Technical part | $186.21 | $275.42 | $380.19 |
Pacific Source Setting Facility Modifier None Typical Low $24.55 Median $263.03 Typical High $331.13 | Facility | None | $24.55 | $263.03 | $331.13 |
Providence Setting Facility Modifier None Typical Low $323.59 Median $446.68 Typical High $1,659.59 | Facility | None | $323.59 | $446.68 | $1,659.59 |
Providence Setting Professional Modifier None (both parts) Typical Low $245.47 Median $389.05 Typical High $478.63 | Professional | None (both parts) | $245.47 | $389.05 | $478.63 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $30.20 Typical High $39.81 | Professional | 26 · Professional part | $19.95 | $30.20 | $39.81 |
Providence Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $323.59 Typical High $436.52 | Professional | TC · Technical part | $213.80 | $323.59 | $436.52 |
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 $331.13 Median $446.68 Typical High $478.63 | Professional | None (both parts) | $331.13 | $446.68 | $478.63 |
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 $151.36 Median $416.87 Typical High $549.54 | Professional | None (both parts) | $151.36 | $416.87 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $35.48 Typical High $46.77 | Professional | 26 · Professional part | $12.88 | $35.48 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $389.05 Typical High $501.19 | Professional | TC · Technical part | $138.04 | $389.05 | $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 4.3 times more in Alabama than in Indiana. 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
$295
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.