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 $741.31 Median $870.96 Typical High $1,047.13 | Facility | None | $741.31 | $870.96 | $1,047.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $602.56 Typical High $707.95 | Professional | None (both parts) | $371.54 | $602.56 | $707.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $72.44 Typical High $89.13 | Professional | 26 · Professional part | $56.23 | $72.44 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $524.81 Typical High $616.60 | Professional | TC · Technical part | $316.23 | $524.81 | $616.60 |
Cigna Setting Professional Modifier None (both parts) Typical Low $501.19 Median $794.33 Typical High $1,412.54 | Professional | None (both parts) | $501.19 | $794.33 | $1,412.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $100.00 Typical High $169.82 | Professional | 26 · Professional part | $69.18 | $100.00 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $707.95 Typical High $1,230.27 | Professional | TC · Technical part | $436.52 | $707.95 | $1,230.27 |
Kaiser Permanente Setting Professional Modifier None Typical Low $933.25 Median $1,174.90 Typical High $1,412.54 | Professional | None | $933.25 | $1,174.90 | $1,412.54 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $134.90 Typical High $154.88 | Professional | 26 · Professional part | $109.65 | $134.90 | $154.88 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $1,047.13 Typical High $1,230.27 | Professional | TC · Technical part | $831.76 | $1,047.13 | $1,230.27 |
Moda Health Setting Facility Modifier None Typical Low $691.83 Median $891.25 Typical High $1,584.89 | Facility | None | $691.83 | $891.25 | $1,584.89 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $371.54 Median $602.56 Typical High $1,096.48 | Professional | None (both parts) | $371.54 | $602.56 | $1,096.48 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $72.44 Typical High $177.83 | Professional | 26 · Professional part | $57.54 | $72.44 | $177.83 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $524.81 Typical High $933.25 | Professional | TC · Technical part | $316.23 | $524.81 | $933.25 |
Pacific Source Setting Facility Modifier None Typical Low $91.20 Median $489.78 Typical High $831.76 | Facility | None | $91.20 | $489.78 | $831.76 |
Providence Setting Facility Modifier None Typical Low $588.84 Median $851.14 Typical High $1,148.15 | Facility | None | $588.84 | $851.14 | $1,148.15 |
Providence Setting Professional Modifier None (both parts) Typical Low $512.86 Median $851.14 Typical High $1,348.96 | Professional | None (both parts) | $512.86 | $851.14 | $1,348.96 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $104.71 Typical High $162.18 | Professional | 26 · Professional part | $72.44 | $104.71 | $162.18 |
Providence Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $724.44 Typical High $1,174.90 | Professional | TC · Technical part | $416.87 | $724.44 | $1,174.90 |
Regence BlueShield Setting Facility Modifier None Typical Low $758.58 Median $1,071.52 Typical High $1,230.27 | Facility | None | $758.58 | $1,071.52 | $1,230.27 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $831.76 Median $870.96 Typical High $912.01 | Professional | None (both parts) | $831.76 | $870.96 | $912.01 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $107.15 Typical High $112.20 | Professional | 26 · Professional part | $102.33 | $107.15 | $112.20 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $758.58 Typical High $794.33 | Professional | TC · Technical part | $741.31 | $758.58 | $794.33 |
United Setting Facility Modifier None Typical Low $691.83 Median $851.14 Typical High $1,071.52 | Facility | None | $691.83 | $851.14 | $1,071.52 |
United Setting Professional Modifier None (both parts) Typical Low $512.86 Median $851.14 Typical High $1,479.11 | Professional | None (both parts) | $512.86 | $851.14 | $1,479.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $114.82 Typical High $181.97 | Professional | 26 · Professional part | $74.13 | $114.82 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $741.31 Typical High $1,288.25 | Professional | TC · Technical part | $446.68 | $741.31 | $1,288.25 |
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 $245.47 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $245.47 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $97.72 | $120.23 | $120.23 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $257.04 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $257.04 | $302.00 | $302.00 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $102.33 | $120.23 | $120.23 |
Where Oregon sits
The same service costs 3.0 times more in Alaska than in New Mexico. 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
$794
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.