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 $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $338.84 Typical High $371.54 | Professional | None (both parts) | $257.04 | $338.84 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $204.17 Typical High $218.78 | Professional | 26 · Professional part | $158.49 | $204.17 | $218.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $138.04 Typical High $147.91 | Professional | TC · Technical part | $104.71 | $138.04 | $147.91 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $436.52 Typical High $758.58 | Professional | None (both parts) | $309.03 | $436.52 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $275.42 Typical High $467.74 | Professional | 26 · Professional part | $190.55 | $275.42 | $467.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $169.82 Typical High $288.40 | Professional | TC · Technical part | $123.03 | $169.82 | $288.40 |
Kaiser Permanente Setting Professional Modifier None Typical Low $489.78 Median $616.60 Typical High $724.44 | Professional | None | $489.78 | $616.60 | $724.44 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $371.54 Typical High $436.52 | Professional | 26 · Professional part | $302.00 | $371.54 | $436.52 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $234.42 Typical High $281.84 | Professional | TC · Technical part | $186.21 | $234.42 | $281.84 |
Moda Health Setting Facility Modifier None Typical Low $338.84 Median $489.78 Typical High $630.96 | Facility | None | $338.84 | $489.78 | $630.96 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $269.15 Median $338.84 Typical High $724.44 | Professional | None (both parts) | $269.15 | $338.84 | $724.44 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $204.17 Typical High $363.08 | Professional | 26 · Professional part | $158.49 | $204.17 | $363.08 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $138.04 Typical High $213.80 | Professional | TC · Technical part | $109.65 | $138.04 | $213.80 |
Pacific Source Setting Facility Modifier None Typical Low $147.91 Median $295.12 Typical High $489.78 | Facility | None | $147.91 | $295.12 | $489.78 |
Providence Setting Facility Modifier None Typical Low $302.00 Median $436.52 Typical High $630.96 | Facility | None | $302.00 | $436.52 | $630.96 |
Providence Setting Professional Modifier None (both parts) Typical Low $323.59 Median $478.63 Typical High $724.44 | Professional | None (both parts) | $323.59 | $478.63 | $724.44 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $295.12 Typical High $446.68 | Professional | 26 · Professional part | $199.53 | $295.12 | $446.68 |
Providence Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $186.21 Typical High $275.42 | Professional | TC · Technical part | $125.89 | $186.21 | $275.42 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,445.44 Median $1,862.09 Typical High $2,187.76 | Facility | None | $1,445.44 | $1,862.09 | $2,187.76 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $457.09 Median $467.74 Typical High $512.86 | Professional | None (both parts) | $457.09 | $467.74 | $512.86 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $295.12 Typical High $309.03 | Professional | 26 · Professional part | $281.84 | $295.12 | $309.03 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $177.83 Typical High $194.98 | Professional | TC · Technical part | $173.78 | $177.83 | $194.98 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,479.11 Typical High $1,819.70 | Facility | None | $1,174.90 | $1,479.11 | $1,819.70 |
United Setting Professional Modifier None (both parts) Typical Low $380.19 Median $524.81 Typical High $794.33 | Professional | None (both parts) | $380.19 | $524.81 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $316.23 Typical High $501.19 | Professional | 26 · Professional part | $223.87 | $316.23 | $501.19 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $204.17 Typical High $302.00 | Professional | TC · Technical part | $147.91 | $204.17 | $302.00 |
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 $138.04 Median $169.82 Typical High $169.82 | Professional | 52 · Reduced service | $138.04 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $67.61 Typical High $67.61 | Professional | 53 · Discontinued | $56.23 | $67.61 | $67.61 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $147.91 Median $169.82 Typical High $169.82 | Professional | 52 · Reduced service | $147.91 | $169.82 | $169.82 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $67.61 Typical High $67.61 | Professional | 53 · Discontinued | $58.88 | $67.61 | $67.61 |
Where Oregon sits
The same service costs 3.3 times more in Alaska than in Texas. 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
$457
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.