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 $23.99 Median $56.23 Typical High $97.72 | Professional | None (both parts) | $23.99 | $56.23 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $44.67 Typical High $75.86 | Facility | None | $39.81 | $44.67 | $75.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $47.86 Typical High $104.71 | Professional | None (both parts) | $25.70 | $47.86 | $104.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $25.70 Typical High $56.23 | Professional | 26 · Professional part | $17.78 | $25.70 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $8.71 Median $22.39 Typical High $47.86 | Professional | TC · Technical part | $8.71 | $22.39 | $47.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $53.70 Median $107.15 Typical High $165.96 | Professional | None | $53.70 | $107.15 | $165.96 |
Moda Health Setting Facility Modifier None Typical Low $56.23 Median $87.10 Typical High $128.82 | Facility | None | $56.23 | $87.10 | $128.82 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $48.98 Median $64.57 Typical High $123.03 | Professional | None (both parts) | $48.98 | $64.57 | $123.03 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $41.69 Typical High $91.20 | Professional | 26 · Professional part | $27.54 | $41.69 | $91.20 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $12.59 Median $24.55 Typical High $56.23 | Professional | TC · Technical part | $12.59 | $24.55 | $56.23 |
Pacific Source Setting Facility Modifier None Typical Low $24.55 Median $56.23 Typical High $109.65 | Facility | None | $24.55 | $56.23 | $109.65 |
Providence Setting Facility Modifier None Typical Low $44.67 Median $112.20 Typical High $204.17 | Facility | None | $44.67 | $112.20 | $204.17 |
Providence Setting Professional Modifier None (both parts) Typical Low $47.86 Median $104.71 Typical High $158.49 | Professional | None (both parts) | $47.86 | $104.71 | $158.49 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $42.66 Typical High $87.10 | Professional | 26 · Professional part | $25.70 | $42.66 | $87.10 |
Providence Setting Professional Modifier TC · Technical part Typical Low $10.96 Median $24.55 Typical High $74.13 | Professional | TC · Technical part | $10.96 | $24.55 | $74.13 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $97.72 Median $107.15 Typical High $162.18 | Professional | None (both parts) | $97.72 | $107.15 | $162.18 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $57.54 Typical High $87.10 | Professional | 26 · Professional part | $52.48 | $57.54 | $87.10 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $47.86 Typical High $74.13 | Professional | TC · Technical part | $44.67 | $47.86 | $74.13 |
United Setting Professional Modifier None (both parts) Typical Low $31.62 Median $83.18 Typical High $190.55 | Professional | None (both parts) | $31.62 | $83.18 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $48.98 Typical High $102.33 | Professional | 26 · Professional part | $17.38 | $48.98 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $34.67 Typical High $87.10 | Professional | TC · Technical part | $13.80 | $34.67 | $87.10 |
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 $12.59 Median $18.20 Typical High $22.91 | Facility | 53 · Discontinued | $12.59 | $18.20 | $22.91 |
Where Oregon sits
The same service costs 4.7 times more in Alaska than in Louisiana. 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· 20th of 51
$58.88
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.