How much rates vary
Facilitymedian $1,698 · 10th to 90th $1,072 to $5,129Professionalmedian $1,622 · 10th to 90th $794 to $2,630
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 $5,128.61 Median $9,549.93 Typical High $17,378.01 | Facility | None | $5,128.61 | $9,549.93 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $933.25 Typical High $1,148.15 | Professional | None | $741.31 | $933.25 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $3,235.94 Typical High $4,466.84 | Facility | None | $870.96 | $3,235.94 | $4,466.84 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $1,548.82 Typical High $2,398.83 | Professional | None | $1,202.26 | $1,548.82 | $2,398.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,479.11 Median $1,698.24 Typical High $2,041.74 | Professional | None | $1,479.11 | $1,698.24 | $2,041.74 |
Moda Health Setting Facility Modifier None Typical Low $1,348.96 Median $2,570.40 Typical High $17,378.01 | Facility | None | $1,348.96 | $2,570.40 | $17,378.01 |
Moda Health Setting Professional Modifier None Typical Low $812.83 Median $1,148.15 Typical High $2,691.53 | Professional | None | $812.83 | $1,148.15 | $2,691.53 |
Pacific Source Setting Facility Modifier None Typical Low $1,071.52 Median $1,698.24 Typical High $1,819.70 | Facility | None | $1,071.52 | $1,698.24 | $1,819.70 |
Providence Setting Facility Modifier None Typical Low $891.25 Median $2,951.21 Typical High $4,265.80 | Facility | None | $891.25 | $2,951.21 | $4,265.80 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,698.24 Typical High $2,630.27 | Professional | None | $79.43 | $1,698.24 | $2,630.27 |
Regence BlueShield Setting Facility Modifier None Typical Low $7,413.10 Median $10,715.19 Typical High $12,589.25 | Facility | None | $7,413.10 | $10,715.19 | $12,589.25 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,737.80 Median $1,819.70 Typical High $2,691.53 | Professional | None | $1,737.80 | $1,819.70 | $2,691.53 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $1,862.09 Typical High $12,302.69 | Facility | None | $1,230.27 | $1,862.09 | $12,302.69 |
United Setting Professional Modifier None Typical Low $1,348.96 Median $1,949.84 Typical High $3,162.28 | Professional | None | $1,348.96 | $1,949.84 | $3,162.28 |
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 $467.74 Median $467.74 Typical High $467.74 | Professional | 52 · Reduced service | $467.74 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | 53 · Discontinued | $186.21 | $186.21 | $186.21 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | 52 · Reduced service | $467.74 | $467.74 | $467.74 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | 53 · Discontinued | $186.21 | $186.21 | $186.21 |
Where Oregon sits
The same service costs 3.4 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.
Physician feeFacility fee
AK $7,351KY $2,168
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.