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 $1,258.93 Median $1,258.93 Typical High $2,238.72 | Facility | None | $1,258.93 | $1,258.93 | $2,238.72 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $489.78 Typical High $489.78 | Professional | None | $426.58 | $489.78 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $933.25 Typical High $1,584.89 | Facility | None | $812.83 | $933.25 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $616.60 Typical High $912.01 | Professional | None | $371.54 | $616.60 | $912.01 |
Kaiser Permanente Setting Professional Modifier None Typical Low $831.76 Median $1,230.27 Typical High $1,479.11 | Professional | None | $831.76 | $1,230.27 | $1,479.11 |
Moda Health Setting Facility Modifier None Typical Low $457.09 Median $501.19 Typical High $1,230.27 | Facility | None | $457.09 | $501.19 | $1,230.27 |
Moda Health Setting Professional Modifier None Typical Low $489.78 Median $501.19 Typical High $676.08 | Professional | None | $489.78 | $501.19 | $676.08 |
Pacific Source Setting Facility Modifier None Typical Low $501.19 Median $575.44 Typical High $1,023.29 | Facility | None | $501.19 | $575.44 | $1,023.29 |
Pacific Source Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $549.54 | Professional | None | $501.19 | $501.19 | $549.54 |
Providence Setting Facility Modifier None Typical Low $478.63 Median $724.44 Typical High $1,380.38 | Facility | None | $478.63 | $724.44 | $1,380.38 |
Providence Setting Professional Modifier None Typical Low $457.09 Median $549.54 Typical High $776.25 | Professional | None | $457.09 | $549.54 | $776.25 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,000.00 Median $1,698.24 Typical High $2,137.96 | Facility | None | $1,000.00 | $1,698.24 | $2,137.96 |
Regence BlueShield Setting Professional Modifier None Typical Low $380.19 Median $426.58 Typical High $602.56 | Professional | None | $380.19 | $426.58 | $602.56 |
United Setting Facility Modifier None Typical Low $602.56 Median $758.58 Typical High $812.83 | Facility | None | $602.56 | $758.58 | $812.83 |
United Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $602.56 | Professional | None | $213.80 | $213.80 | $602.56 |
2 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 $229.09 Median $245.47 Typical High $245.47 | Professional | 52 · Reduced service | $229.09 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $97.72 Typical High $97.72 | Professional | 53 · Discontinued | $91.20 | $97.72 | $97.72 |
Where Oregon sits
The same service costs 3.7 times more in Alaska than in Georgia. 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· 15th of 51
$550
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.