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 $645.65 Median $776.25 Typical High $776.25 | Professional | None (both parts) | $645.65 | $776.25 | $776.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $281.84 Typical High $281.84 | Professional | 26 · Professional part | $251.19 | $281.84 | $281.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $501.19 Typical High $501.19 | Professional | TC · Technical part | $436.52 | $501.19 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $776.25 Median $1,258.93 Typical High $2,137.96 | Professional | None (both parts) | $776.25 | $1,258.93 | $2,137.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $389.05 Typical High $676.08 | Professional | 26 · Professional part | $269.15 | $389.05 | $676.08 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $851.14 Typical High $1,479.11 | Professional | TC · Technical part | $467.74 | $851.14 | $1,479.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,479.11 Median $1,862.09 Typical High $2,187.76 | Professional | None | $1,479.11 | $1,862.09 | $2,187.76 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $436.52 Median $537.03 Typical High $616.60 | Professional | 26 · Professional part | $436.52 | $537.03 | $616.60 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $1,047.13 Median $1,318.26 Typical High $1,584.89 | Professional | TC · Technical part | $1,047.13 | $1,318.26 | $1,584.89 |
Moda Health Setting Facility Modifier None Typical Low $776.25 Median $1,122.02 Typical High $1,412.54 | Facility | None | $776.25 | $1,122.02 | $1,412.54 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $645.65 Median $776.25 Typical High $1,445.44 | Professional | None (both parts) | $645.65 | $776.25 | $1,445.44 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $281.84 Typical High $512.86 | Professional | 26 · Professional part | $281.84 | $281.84 | $512.86 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $501.19 Typical High $1,096.48 | Professional | TC · Technical part | $371.54 | $501.19 | $1,096.48 |
Pacific Source Setting Facility Modifier None Typical Low $309.03 Median $660.69 Typical High $1,258.93 | Facility | None | $309.03 | $660.69 | $1,258.93 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $794.33 | Professional | None (both parts) | $363.08 | $363.08 | $794.33 |
Providence Setting Facility Modifier None Typical Low $933.25 Median $1,318.26 Typical High $1,737.80 | Facility | None | $933.25 | $1,318.26 | $1,737.80 |
Providence Setting Professional Modifier None (both parts) Typical Low $776.25 Median $1,230.27 Typical High $2,041.74 | Professional | None (both parts) | $776.25 | $1,230.27 | $2,041.74 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $416.87 Typical High $645.65 | Professional | 26 · Professional part | $281.84 | $416.87 | $645.65 |
Providence Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $851.14 Typical High $1,445.44 | Professional | TC · Technical part | $380.19 | $851.14 | $1,445.44 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,691.53 Median $3,630.78 Typical High $4,168.69 | Facility | None | $2,691.53 | $3,630.78 | $4,168.69 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,348.96 Typical High $1,412.54 | Professional | None (both parts) | $1,288.25 | $1,348.96 | $1,412.54 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $407.38 Median $416.87 Typical High $436.52 | Professional | 26 · Professional part | $407.38 | $416.87 | $436.52 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $912.01 Typical High $977.24 | Professional | TC · Technical part | $891.25 | $912.01 | $977.24 |
United Setting Facility Modifier None Typical Low $2,754.23 Median $3,388.44 Typical High $4,265.80 | Facility | None | $2,754.23 | $3,388.44 | $4,265.80 |
United Setting Professional Modifier None (both parts) Typical Low $724.44 Median $1,174.90 Typical High $2,290.87 | Professional | None (both parts) | $724.44 | $1,174.90 | $2,290.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $457.09 Typical High $707.95 | Professional | 26 · Professional part | $295.12 | $457.09 | $707.95 |
United Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $724.44 Typical High $1,548.82 | Professional | TC · Technical part | $457.09 | $724.44 | $1,548.82 |
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 $371.54 Median $389.05 Typical High $389.05 | Professional | 52 · Reduced service | $371.54 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $158.49 Typical High $158.49 | Professional | 53 · Discontinued | $147.91 | $158.49 | $158.49 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | 52 · Reduced service | $389.05 | $389.05 | $389.05 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | 53 · Discontinued | $158.49 | $158.49 | $158.49 |
Where Oregon sits
The same service costs 3.2 times more in Alaska than in Kentucky. 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· 9th of 51
$1,148
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.