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 $912.01 Median $1,174.90 Typical High $1,445.44 | Professional | None | $912.01 | $1,174.90 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $870.96 Typical High $2,137.96 | Facility | None | $660.69 | $870.96 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $1,479.11 Median $1,995.26 Typical High $3,090.30 | Professional | None | $1,479.11 | $1,995.26 | $3,090.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,905.46 Median $2,238.72 Typical High $2,630.27 | Professional | None | $1,905.46 | $2,238.72 | $2,630.27 |
Moda Health Setting Facility Modifier None Typical Low $1,174.90 Median $2,089.30 Typical High $3,235.94 | Facility | None | $1,174.90 | $2,089.30 | $3,235.94 |
Moda Health Setting Professional Modifier None Typical Low $1,023.29 Median $1,778.28 Typical High $3,388.44 | Professional | None | $1,023.29 | $1,778.28 | $3,388.44 |
Pacific Source Setting Facility Modifier None Typical Low $1,318.26 Median $2,089.30 Typical High $2,344.23 | Facility | None | $1,318.26 | $2,089.30 | $2,344.23 |
Providence Setting Facility Modifier None Typical Low $758.58 Median $1,659.59 Typical High $2,951.21 | Facility | None | $758.58 | $1,659.59 | $2,951.21 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $2,137.96 Typical High $3,388.44 | Professional | None | $79.43 | $2,137.96 | $3,388.44 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,238.72 Median $2,344.23 Typical High $3,467.37 | Professional | None | $2,238.72 | $2,344.23 | $3,467.37 |
United Setting Facility Modifier None Typical Low $602.56 Median $891.25 Typical High $11,481.54 | Facility | None | $602.56 | $891.25 | $11,481.54 |
United Setting Professional Modifier None Typical Low $1,698.24 Median $2,398.83 Typical High $4,073.80 | Professional | None | $1,698.24 | $2,398.83 | $4,073.80 |
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 $588.84 Median $588.84 Typical High $588.84 | Professional | 52 · Reduced service | $588.84 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | 53 · Discontinued | $239.88 | $239.88 | $239.88 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | 52 · Reduced service | $588.84 | $588.84 | $588.84 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | 53 · Discontinued | $239.88 | $239.88 | $239.88 |
Where Oregon sits
The same service costs 3.5 times more in Alaska than in Arkansas. 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· 7th of 51
$2,089
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.