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 $134.90 Median $144.54 Typical High $154.88 | Professional | None (both parts) | $134.90 | $144.54 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $223.87 Typical High $380.19 | Facility | None | $194.98 | $223.87 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $144.54 Typical High $323.59 | Professional | None (both parts) | $61.66 | $144.54 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $31.62 Typical High $70.79 | Professional | 26 · Professional part | $20.42 | $31.62 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $112.20 Typical High $251.19 | Professional | TC · Technical part | $40.74 | $112.20 | $251.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $147.91 Median $295.12 Typical High $467.74 | Professional | None | $147.91 | $295.12 | $467.74 |
Moda Health Setting Facility Modifier None Typical Low $144.54 Median $223.87 Typical High $288.40 | Facility | None | $144.54 | $223.87 | $288.40 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $141.25 Median $154.88 Typical High $338.84 | Professional | None (both parts) | $141.25 | $154.88 | $338.84 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $57.54 Typical High $81.28 | Professional | 26 · Professional part | $38.90 | $57.54 | $81.28 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $104.71 Typical High $263.03 | Professional | TC · Technical part | $79.43 | $104.71 | $263.03 |
Pacific Source Setting Facility Modifier None Typical Low $52.48 Median $147.91 Typical High $275.42 | Facility | None | $52.48 | $147.91 | $275.42 |
Providence Setting Facility Modifier None Typical Low $186.21 Median $288.40 Typical High $724.44 | Facility | None | $186.21 | $288.40 | $724.44 |
Providence Setting Professional Modifier None (both parts) Typical Low $144.54 Median $295.12 Typical High $489.78 | Professional | None (both parts) | $144.54 | $295.12 | $489.78 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $53.70 Typical High $109.65 | Professional | 26 · Professional part | $31.62 | $53.70 | $109.65 |
Providence Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $131.83 Typical High $380.19 | Professional | TC · Technical part | $54.95 | $131.83 | $380.19 |
Regence BlueShield Setting Facility Modifier None Typical Low $147.91 Median $186.21 Typical High $218.78 | Facility | None | $147.91 | $186.21 | $218.78 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $275.42 Median $309.03 Typical High $501.19 | Professional | None (both parts) | $275.42 | $309.03 | $501.19 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $72.44 Typical High $109.65 | Professional | 26 · Professional part | $66.07 | $72.44 | $109.65 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $239.88 Typical High $389.05 | Professional | TC · Technical part | $194.98 | $239.88 | $389.05 |
United Setting Facility Modifier None Typical Low $165.96 Median $204.17 Typical High $257.04 | Facility | None | $165.96 | $204.17 | $257.04 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $208.93 Typical High $549.54 | Professional | None (both parts) | $85.11 | $208.93 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $60.26 Typical High $125.89 | Professional | 26 · Professional part | $21.88 | $60.26 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $151.36 Typical High $426.58 | Professional | TC · Technical part | $60.26 | $151.36 | $426.58 |
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 $53.70 Median $77.62 Typical High $95.50 | Facility | 53 · Discontinued | $53.70 | $77.62 | $95.50 |
Where Oregon sits
The same service costs 5.8 times more in Alaska than in Alabama. 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· 14th of 51
$186
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.