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 Facility Modifier None Typical Low $5,128.61 Median $13,489.63 Typical High $33,884.42 | Facility | None | $5,128.61 | $13,489.63 | $33,884.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $645.65 Median $758.58 Typical High $776.25 | Professional | None (both parts) | $645.65 | $758.58 | $776.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $389.05 Typical High $457.09 | Professional | 26 · Professional part | $316.23 | $389.05 | $457.09 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $371.54 Typical High $407.38 | Professional | TC · Technical part | $323.59 | $371.54 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $575.44 Median $630.96 Typical High $1,479.11 | Professional | None (both parts) | $575.44 | $630.96 | $1,479.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $338.84 Typical High $758.58 | Professional | 26 · Professional part | $288.40 | $338.84 | $758.58 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $302.00 Typical High $724.44 | Professional | TC · Technical part | $281.84 | $302.00 | $724.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,071.52 Median $1,258.93 Typical High $1,548.82 | Professional | None | $1,071.52 | $1,258.93 | $1,548.82 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $549.54 Median $660.69 Typical High $794.33 | Professional | 26 · Professional part | $549.54 | $660.69 | $794.33 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $616.60 Typical High $758.58 | Professional | TC · Technical part | $512.86 | $616.60 | $758.58 |
Moda Health Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $33,884.42 | Facility | None | $758.58 | $1,445.44 | $33,884.42 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $676.08 Median $758.58 Typical High $891.25 | Professional | None (both parts) | $676.08 | $758.58 | $891.25 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $389.05 Typical High $630.96 | Professional | 26 · Professional part | $338.84 | $389.05 | $630.96 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $371.54 Typical High $407.38 | Professional | TC · Technical part | $331.13 | $371.54 | $407.38 |
Pacific Source Setting Facility Modifier None Typical Low $7.24 Median $309.03 Typical High $602.56 | Facility | None | $7.24 | $309.03 | $602.56 |
Providence Setting Facility Modifier None Typical Low $707.95 Median $851.14 Typical High $1,445.44 | Facility | None | $707.95 | $851.14 | $1,445.44 |
Providence Setting Professional Modifier None (both parts) Typical Low $575.44 Median $933.25 Typical High $1,584.89 | Professional | None (both parts) | $575.44 | $933.25 | $1,584.89 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $446.68 Typical High $776.25 | Professional | 26 · Professional part | $288.40 | $446.68 | $776.25 |
Providence Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $398.11 Typical High $776.25 | Professional | TC · Technical part | $281.84 | $398.11 | $776.25 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,071.52 Typical High $1,122.02 | Professional | None (both parts) | $1,047.13 | $1,071.52 | $1,122.02 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $549.54 Median $575.44 Typical High $602.56 | Professional | 26 · Professional part | $549.54 | $575.44 | $602.56 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $489.78 Median $501.19 Typical High $537.03 | Professional | TC · Technical part | $489.78 | $501.19 | $537.03 |
United Setting Facility Modifier None Typical Low $4,365.16 Median $12,589.25 Typical High $14,125.38 | Facility | None | $4,365.16 | $12,589.25 | $14,125.38 |
United Setting Professional Modifier None (both parts) Typical Low $851.14 Median $1,230.27 Typical High $2,089.30 | Professional | None (both parts) | $851.14 | $1,230.27 | $2,089.30 |
United Setting Professional Modifier 26 · Professional part Typical Low $457.09 Median $630.96 Typical High $977.24 | Professional | 26 · Professional part | $457.09 | $630.96 | $977.24 |
United Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $602.56 Typical High $1,096.48 | Professional | TC · Technical part | $436.52 | $602.56 | $1,096.48 |
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 $354.81 Median $380.19 Typical High $380.19 | Professional | 52 · Reduced service | $354.81 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $151.36 Typical High $151.36 | Professional | 53 · Discontinued | $144.54 | $151.36 | $151.36 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | 52 · Reduced service | $380.19 | $380.19 | $380.19 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | 53 · Discontinued | $151.36 | $151.36 | $151.36 |
Where Oregon sits
The same service costs 3.0 times more in Alaska than in Hawaii. 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
$1,023
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.