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 Typical Low $69.18 Median $85.11 Typical High $85.11 | Professional | None | $69.18 | $85.11 | $85.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $32.36 Median $45.71 Typical High $54.95 | Professional | None | $32.36 | $45.71 | $54.95 |
Moda Health Setting Facility Modifier None Typical Low $85.11 Median $93.33 Typical High $120.23 | Facility | None | $85.11 | $93.33 | $120.23 |
Moda Health Setting Professional Modifier None Typical Low $64.57 Median $85.11 Typical High $85.11 | Professional | None | $64.57 | $85.11 | $85.11 |
Pacific Source Setting Facility Modifier None Typical Low $4.27 Median $6.92 Typical High $7.94 | Facility | None | $4.27 | $6.92 | $7.94 |
Providence Setting Facility Modifier None Typical Low $15.85 Median $17.38 Typical High $22.39 | Facility | None | $15.85 | $17.38 | $22.39 |
Providence Setting Professional Modifier None Typical Low $15.85 Median $70.79 Typical High $79.43 | Professional | None | $15.85 | $70.79 | $79.43 |
Regence BlueShield Setting Professional Modifier None Typical Low $60.26 Median $63.10 Typical High $85.11 | Professional | None | $60.26 | $63.10 | $85.11 |
United Setting Professional Modifier None Typical Low $36.31 Median $75.86 Typical High $104.71 | Professional | None | $36.31 | $75.86 | $104.71 |
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 $34.67 Median $41.69 Typical High $41.69 | Professional | 52 · Reduced service | $34.67 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $16.98 Typical High $16.98 | Professional | 53 · Discontinued | $13.80 | $16.98 | $16.98 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $32.36 Median $41.69 Typical High $41.69 | Professional | 52 · Reduced service | $32.36 | $41.69 | $41.69 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $16.98 Typical High $16.98 | Professional | 53 · Discontinued | $12.88 | $16.98 | $16.98 |
Where Oregon sits
The same service costs 19.1 times more in Nebraska than in Hawaii. 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· 48th of 51
$34.67
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.