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 $323.59 Median $363.08 Typical High $363.08 | Professional | None (both parts) | $323.59 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $309.03 Typical High $309.03 | Professional | 26 · Professional part | $269.15 | $309.03 | $309.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $57.54 Typical High $57.54 | Professional | TC · Technical part | $53.70 | $57.54 | $57.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $309.03 Typical High $691.83 | Professional | None (both parts) | $281.84 | $309.03 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $263.03 Typical High $602.56 | Professional | 26 · Professional part | $229.09 | $263.03 | $602.56 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $51.29 Typical High $120.23 | Professional | TC · Technical part | $47.86 | $51.29 | $120.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $524.81 Median $630.96 Typical High $758.58 | Professional | None | $524.81 | $630.96 | $758.58 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $426.58 Median $524.81 Typical High $630.96 | Professional | 26 · Professional part | $426.58 | $524.81 | $630.96 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $107.15 Typical High $134.90 | Professional | TC · Technical part | $89.13 | $107.15 | $134.90 |
Moda Health Setting Facility Modifier None Typical Low $363.08 Median $645.65 Typical High $691.83 | Facility | None | $363.08 | $645.65 | $691.83 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $309.03 Median $363.08 Typical High $616.60 | Professional | None (both parts) | $309.03 | $363.08 | $616.60 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $309.03 Typical High $489.78 | Professional | 26 · Professional part | $257.04 | $309.03 | $489.78 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $57.54 Typical High $120.23 | Professional | TC · Technical part | $52.48 | $57.54 | $120.23 |
Pacific Source Setting Facility Modifier None Typical Low $53.70 Median $389.05 Typical High $549.54 | Facility | None | $53.70 | $389.05 | $549.54 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $41.69 Median $123.03 Typical High $676.08 | Professional | None (both parts) | $41.69 | $123.03 | $676.08 |
Providence Setting Facility Modifier None Typical Low $323.59 Median $645.65 Typical High $724.44 | Facility | None | $323.59 | $645.65 | $724.44 |
Providence Setting Professional Modifier None (both parts) Typical Low $288.40 Median $426.58 Typical High $741.31 | Professional | None (both parts) | $288.40 | $426.58 | $741.31 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $338.84 Typical High $616.60 | Professional | 26 · Professional part | $229.09 | $338.84 | $616.60 |
Providence Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $64.57 Typical High $123.03 | Professional | TC · Technical part | $42.66 | $64.57 | $123.03 |
Regence BlueShield Setting Facility Modifier None Typical Low $812.83 Median $1,047.13 Typical High $1,202.26 | Facility | None | $812.83 | $1,047.13 | $1,202.26 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $512.86 Median $524.81 Typical High $549.54 | Professional | None (both parts) | $512.86 | $524.81 | $549.54 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $426.58 Median $436.52 Typical High $457.09 | Professional | 26 · Professional part | $426.58 | $436.52 | $457.09 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $89.13 Typical High $93.33 | Professional | TC · Technical part | $85.11 | $89.13 | $93.33 |
United Setting Facility Modifier None Typical Low $977.24 Median $1,230.27 Typical High $1,513.56 | Facility | None | $977.24 | $1,230.27 | $1,513.56 |
United Setting Professional Modifier None (both parts) Typical Low $407.38 Median $549.54 Typical High $891.25 | Professional | None (both parts) | $407.38 | $549.54 | $891.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $489.78 Typical High $741.31 | Professional | 26 · Professional part | $354.81 | $489.78 | $741.31 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $75.86 Typical High $151.36 | Professional | TC · Technical part | $52.48 | $75.86 | $151.36 |
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 $158.49 Median $181.97 Typical High $181.97 | Professional | 52 · Reduced service | $158.49 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $72.44 Typical High $72.44 | Professional | 53 · Discontinued | $64.57 | $72.44 | $72.44 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | 52 · Reduced service | $181.97 | $181.97 | $181.97 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 53 · Discontinued | $72.44 | $72.44 | $72.44 |
Where Oregon sits
The same service costs 3.3 times more in Minnesota 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· 11th of 51
$490
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.