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 $3,235.94 Median $5,011.87 Typical High $7,943.28 | Facility | None | $3,235.94 | $5,011.87 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $120.23 Typical High $158.49 | Professional | None | $79.43 | $120.23 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $128.82 Typical High $165.96 | Facility | None | $104.71 | $128.82 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $186.21 Typical High $323.59 | Professional | None | $112.20 | $186.21 | $323.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $131.83 Median $190.55 Typical High $281.84 | Professional | None | $131.83 | $190.55 | $281.84 |
Moda Health Setting Facility Modifier None Typical Low $117.49 Median $269.15 Typical High $6,606.93 | Facility | None | $117.49 | $269.15 | $6,606.93 |
Moda Health Setting Professional Modifier None Typical Low $83.18 Median $134.90 Typical High $309.03 | Professional | None | $83.18 | $134.90 | $309.03 |
Pacific Source Setting Facility Modifier None Typical Low $138.04 Median $223.87 Typical High $239.88 | Facility | None | $138.04 | $223.87 | $239.88 |
Providence Setting Facility Modifier None Typical Low $104.71 Median $134.90 Typical High $302.00 | Facility | None | $104.71 | $134.90 | $302.00 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $190.55 Typical High $323.59 | Professional | None | $79.43 | $190.55 | $323.59 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,905.46 Median $2,691.53 Typical High $3,235.94 | Facility | None | $1,905.46 | $2,691.53 | $3,235.94 |
Regence BlueShield Setting Professional Modifier None Typical Low $154.88 Median $229.09 Typical High $316.23 | Professional | None | $154.88 | $229.09 | $316.23 |
United Setting Facility Modifier None Typical Low $354.81 Median $660.69 Typical High $3,981.07 | Facility | None | $354.81 | $660.69 | $3,981.07 |
United Setting Professional Modifier None Typical Low $134.90 Median $218.78 Typical High $346.74 | Professional | None | $134.90 | $218.78 | $346.74 |
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 $41.69 Median $47.86 Typical High $64.57 | Professional | 52 · Reduced service | $41.69 | $47.86 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $19.05 Typical High $25.70 | Professional | 53 · Discontinued | $16.60 | $19.05 | $25.70 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $41.69 Typical High $64.57 | Professional | 52 · Reduced service | $41.69 | $41.69 | $64.57 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.98 Typical High $25.70 | Professional | 53 · Discontinued | $16.60 | $16.98 | $25.70 |
Where Oregon sits
The same service costs 2.8 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· 6th of 51
$195
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.