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 $933.25 Median $1,202.26 Typical High $1,202.26 | Professional | None (both parts) | $933.25 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $154.88 Typical High $154.88 | Professional | 26 · Professional part | $114.82 | $154.88 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $1,071.52 Typical High $1,071.52 | Professional | TC · Technical part | $812.83 | $1,071.52 | $1,071.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $1,621.81 Typical High $2,754.23 | Professional | None (both parts) | $1,202.26 | $1,621.81 | $2,754.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $208.93 Typical High $363.08 | Professional | 26 · Professional part | $147.91 | $208.93 | $363.08 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,047.13 Median $1,412.54 Typical High $2,398.83 | Professional | TC · Technical part | $1,047.13 | $1,412.54 | $2,398.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,949.84 Median $2,290.87 Typical High $2,884.03 | Professional | None | $1,949.84 | $2,290.87 | $2,884.03 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $295.12 Typical High $346.74 | Professional | 26 · Professional part | $245.47 | $295.12 | $346.74 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $1,698.24 Median $1,995.26 Typical High $2,511.89 | Professional | TC · Technical part | $1,698.24 | $1,995.26 | $2,511.89 |
Moda Health Setting Facility Modifier None Typical Low $1,202.26 Median $1,737.80 Typical High $2,454.71 | Facility | None | $1,202.26 | $1,737.80 | $2,454.71 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,202.26 Typical High $2,398.83 | Professional | None (both parts) | $1,023.29 | $1,202.26 | $2,398.83 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $154.88 Typical High $154.88 | Professional | 26 · Professional part | $114.82 | $154.88 | $154.88 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $1,071.52 Typical High $1,071.52 | Professional | TC · Technical part | $741.31 | $1,071.52 | $1,071.52 |
Pacific Source Setting Facility Modifier None Typical Low $1,023.29 Median $1,698.24 Typical High $1,778.28 | Facility | None | $1,023.29 | $1,698.24 | $1,778.28 |
Providence Setting Facility Modifier None Typical Low $1,202.26 Median $1,737.80 Typical High $2,454.71 | Facility | None | $1,202.26 | $1,737.80 | $2,454.71 |
Providence Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $1,949.84 Typical High $2,754.23 | Professional | None (both parts) | $1,318.26 | $1,949.84 | $2,754.23 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $245.47 Typical High $363.08 | Professional | 26 · Professional part | $169.82 | $245.47 | $363.08 |
Providence Setting Professional Modifier TC · Technical part Typical Low $1,148.15 Median $1,659.59 Typical High $2,398.83 | Professional | TC · Technical part | $1,148.15 | $1,659.59 | $2,398.83 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,398.83 Median $3,162.28 Typical High $3,630.78 | Facility | None | $2,398.83 | $3,162.28 | $3,630.78 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $1,698.24 Median $1,778.28 Typical High $2,570.40 | Professional | None (both parts) | $1,698.24 | $1,778.28 | $2,570.40 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $239.88 Typical High $331.13 | Professional | 26 · Professional part | $218.78 | $239.88 | $331.13 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $1,479.11 Median $1,548.82 Typical High $2,238.72 | Professional | TC · Technical part | $1,479.11 | $1,548.82 | $2,238.72 |
United Setting Facility Modifier None Typical Low $2,951.21 Median $3,715.35 Typical High $4,570.88 | Facility | None | $2,951.21 | $3,715.35 | $4,570.88 |
United Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,949.84 Typical High $2,884.03 | Professional | None (both parts) | $1,023.29 | $1,949.84 | $2,884.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $245.47 Typical High $371.54 | Professional | 26 · Professional part | $128.82 | $245.47 | $371.54 |
United Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $1,698.24 Typical High $2,511.89 | Professional | TC · Technical part | $891.25 | $1,698.24 | $2,511.89 |
4 more rates 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 Professional Modifier 52 · Reduced service Typical Low $467.74 Median $602.56 Typical High $602.56 | Professional | 52 · Reduced service | $467.74 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $245.47 Typical High $245.47 | Professional | 53 · Discontinued | $186.21 | $245.47 | $245.47 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $426.58 Median $602.56 Typical High $602.56 | Professional | 52 · Reduced service | $426.58 | $602.56 | $602.56 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $245.47 Typical High $245.47 | Professional | 53 · Discontinued | $169.82 | $245.47 | $245.47 |
Where Oregon sits
The same service costs 3.2 times more in Alaska than in Utah. 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· 7th of 51
$1,778
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.