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 $3,388.44 Median $3,388.44 Typical High $6,025.60 | Facility | None | $3,388.44 | $3,388.44 | $6,025.60 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $1,318.26 Typical High $1,318.26 | Professional | None | $812.83 | $1,318.26 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $2,187.76 Median $2,511.89 Typical High $4,265.80 | Facility | None | $2,187.76 | $2,511.89 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $1,000.00 Median $1,621.81 Typical High $2,398.83 | Professional | None | $1,000.00 | $1,621.81 | $2,398.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,238.72 Median $3,311.31 Typical High $3,981.07 | Professional | None | $2,238.72 | $3,311.31 | $3,981.07 |
Moda Health Setting Facility Modifier None Typical Low $1,202.26 Median $1,348.96 Typical High $3,311.31 | Facility | None | $1,202.26 | $1,348.96 | $3,311.31 |
Moda Health Setting Professional Modifier None Typical Low $1,318.26 Median $1,348.96 Typical High $1,819.70 | Professional | None | $1,318.26 | $1,348.96 | $1,819.70 |
Pacific Source Setting Facility Modifier None Typical Low $1,348.96 Median $1,513.56 Typical High $2,691.53 | Facility | None | $1,348.96 | $1,513.56 | $2,691.53 |
Providence Setting Facility Modifier None Typical Low $1,288.25 Median $1,949.84 Typical High $3,715.35 | Facility | None | $1,288.25 | $1,949.84 | $3,715.35 |
Providence Setting Professional Modifier None Typical Low $1,202.26 Median $1,479.11 Typical High $2,089.30 | Professional | None | $1,202.26 | $1,479.11 | $2,089.30 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,691.53 Median $4,570.88 Typical High $5,754.40 | Facility | None | $2,691.53 | $4,570.88 | $5,754.40 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,023.29 Median $1,148.15 Typical High $1,621.81 | Professional | None | $1,023.29 | $1,148.15 | $1,621.81 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $2,041.74 Typical High $2,137.96 | Facility | None | $1,621.81 | $2,041.74 | $2,137.96 |
United Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $1,621.81 | Professional | None | $562.34 | $562.34 | $1,621.81 |
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 $537.03 Median $660.69 Typical High $660.69 | Professional | 52 · Reduced service | $537.03 | $660.69 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $263.03 Typical High $263.03 | Professional | 53 · Discontinued | $213.80 | $263.03 | $263.03 |
Where Oregon sits
The same service costs 5.1 times more in Alaska than in Alabama. 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· 11th of 51
$1,479
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.