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 $51.29 Median $79.43 Typical High $79.43 | Professional | None | $51.29 | $79.43 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $1,174.90 Typical High $1,318.26 | Facility | None | $776.25 | $1,174.90 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $104.71 Typical High $190.55 | Professional | None | $83.18 | $104.71 | $190.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $93.33 Median $114.82 Typical High $131.83 | Professional | None | $93.33 | $114.82 | $131.83 |
Moda Health Setting Facility Modifier None Typical Low $79.43 Median $158.49 Typical High $275.42 | Facility | None | $79.43 | $158.49 | $275.42 |
Moda Health Setting Professional Modifier None Typical Low $79.43 Median $89.13 Typical High $186.21 | Professional | None | $79.43 | $89.13 | $186.21 |
Pacific Source Setting Facility Modifier None Typical Low $24.55 Median $83.18 Typical High $186.21 | Facility | None | $24.55 | $83.18 | $186.21 |
Pacific Source Setting Professional Modifier None Typical Low $17.78 Median $19.95 Typical High $83.18 | Professional | None | $17.78 | $19.95 | $83.18 |
Providence Setting Facility Modifier None Typical Low $95.50 Median $177.83 Typical High $1,174.90 | Facility | None | $95.50 | $177.83 | $1,174.90 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $120.23 Typical High $190.55 | Professional | None | $79.43 | $120.23 | $190.55 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,071.52 Median $1,479.11 Typical High $1,698.24 | Facility | None | $1,071.52 | $1,479.11 | $1,698.24 |
Regence BlueShield Setting Professional Modifier None Typical Low $107.15 Median $112.20 Typical High $169.82 | Professional | None | $107.15 | $112.20 | $169.82 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,380.38 Typical High $1,737.80 | Facility | None | $1,096.48 | $1,380.38 | $1,737.80 |
United Setting Professional Modifier None Typical Low $61.66 Median $123.03 Typical High $199.53 | Professional | None | $61.66 | $123.03 | $199.53 |
5 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 Facility Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $58.88 | Facility | 53 · Discontinued | $45.71 | $45.71 | $58.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $39.81 Typical High $39.81 | Professional | 52 · Reduced service | $25.70 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $15.85 Typical High $15.85 | Professional | 53 · Discontinued | $10.47 | $15.85 | $15.85 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $23.99 Median $39.81 Typical High $39.81 | Professional | 52 · Reduced service | $23.99 | $39.81 | $39.81 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $15.85 Typical High $15.85 | Professional | 53 · Discontinued | $10.23 | $15.85 | $15.85 |
Where Oregon sits
The same service costs 4.1 times more in Alaska than in Texas. 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· 17th of 51
$112
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.