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 $371.54 Median $446.68 Typical High $602.56 | Facility | None | $371.54 | $446.68 | $602.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $363.08 Typical High $489.78 | Professional | None (both parts) | $251.19 | $363.08 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $70.79 Typical High $125.89 | Professional | 26 · Professional part | $57.54 | $70.79 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $295.12 Typical High $398.11 | Professional | TC · Technical part | $165.96 | $295.12 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $741.31 Typical High $891.25 | Facility | None | $524.81 | $741.31 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $457.09 Typical High $812.83 | Professional | None (both parts) | $363.08 | $457.09 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $93.33 Typical High $165.96 | Professional | 26 · Professional part | $74.13 | $93.33 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $371.54 Typical High $645.65 | Professional | TC · Technical part | $288.40 | $371.54 | $645.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $501.19 Median $588.84 Typical High $741.31 | Professional | None | $501.19 | $588.84 | $741.31 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $120.23 Typical High $141.25 | Professional | 26 · Professional part | $100.00 | $120.23 | $141.25 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $478.63 Typical High $602.56 | Professional | TC · Technical part | $398.11 | $478.63 | $602.56 |
Moda Health Setting Facility Modifier None Typical Low $524.81 Median $1,047.13 Typical High $1,479.11 | Facility | None | $524.81 | $1,047.13 | $1,479.11 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $295.12 Median $478.63 Typical High $1,318.26 | Facility | TC · Technical part | $295.12 | $478.63 | $1,318.26 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $263.03 Median $389.05 Typical High $831.76 | Professional | None (both parts) | $263.03 | $389.05 | $831.76 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $104.71 Typical High $302.00 | Professional | 26 · Professional part | $58.88 | $104.71 | $302.00 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $295.12 Typical High $512.86 | Professional | TC · Technical part | $169.82 | $295.12 | $512.86 |
Pacific Source Setting Facility Modifier None Typical Low $97.72 Median $363.08 Typical High $537.03 | Facility | None | $97.72 | $363.08 | $537.03 |
Providence Setting Facility Modifier None Typical Low $316.23 Median $691.83 Typical High $1,000.00 | Facility | None | $316.23 | $691.83 | $1,000.00 |
Providence Setting Professional Modifier None (both parts) Typical Low $398.11 Median $562.34 Typical High $794.33 | Professional | None (both parts) | $398.11 | $562.34 | $794.33 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $114.82 Typical High $177.83 | Professional | 26 · Professional part | $77.62 | $114.82 | $177.83 |
Providence Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $426.58 Typical High $630.96 | Professional | TC · Technical part | $323.59 | $426.58 | $630.96 |
Regence BlueShield Setting Facility Modifier None Typical Low $691.83 Median $851.14 Typical High $1,047.13 | Facility | None | $691.83 | $851.14 | $1,047.13 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $501.19 Median $537.03 Typical High $724.44 | Professional | None (both parts) | $501.19 | $537.03 | $724.44 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $109.65 Typical High $151.36 | Professional | 26 · Professional part | $102.33 | $109.65 | $151.36 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $426.58 Typical High $575.44 | Professional | TC · Technical part | $398.11 | $426.58 | $575.44 |
United Setting Facility Modifier None Typical Low $758.58 Median $954.99 Typical High $1,174.90 | Facility | None | $758.58 | $954.99 | $1,174.90 |
United Setting Professional Modifier None (both parts) Typical Low $281.84 Median $512.86 Typical High $831.76 | Professional | None (both parts) | $281.84 | $512.86 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $107.15 Typical High $173.78 | Professional | 26 · Professional part | $58.88 | $107.15 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $407.38 Typical High $660.69 | Professional | TC · Technical part | $223.87 | $407.38 | $660.69 |
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 $131.83 Median $181.97 Typical High $181.97 | Professional | 52 · Reduced service | $131.83 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $72.44 Typical High $72.44 | Professional | 53 · Discontinued | $53.70 | $72.44 | $72.44 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $141.25 Median $181.97 Typical High $181.97 | Professional | 52 · Reduced service | $141.25 | $181.97 | $181.97 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $72.44 Typical High $72.44 | Professional | 53 · Discontinued | $56.23 | $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· 8th of 51
$501
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.