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 $6,165.95 Median $6,165.95 Typical High $10,964.78 | Facility | None | $6,165.95 | $6,165.95 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $2,398.83 Typical High $2,398.83 | Professional | None | $575.44 | $2,398.83 | $2,398.83 |
Cigna Setting Facility Modifier None Typical Low $3,981.07 Median $4,570.88 Typical High $7,585.78 | Facility | None | $3,981.07 | $4,570.88 | $7,585.78 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $2,951.21 Typical High $4,365.16 | Professional | None | $1,819.70 | $2,951.21 | $4,365.16 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,981.07 Median $6,025.60 Typical High $7,079.46 | Professional | None | $3,981.07 | $6,025.60 | $7,079.46 |
Moda Health Setting Facility Modifier None Typical Low $1,479.11 Median $2,454.71 Typical High $3,388.44 | Facility | None | $1,479.11 | $2,454.71 | $3,388.44 |
Moda Health Setting Professional Modifier None Typical Low $2,398.83 Median $2,454.71 Typical High $3,311.31 | Professional | None | $2,398.83 | $2,454.71 | $3,311.31 |
Pacific Source Setting Facility Modifier None Typical Low $2,454.71 Median $2,754.23 Typical High $4,897.79 | Facility | None | $2,454.71 | $2,754.23 | $4,897.79 |
Pacific Source Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Professional | None | $2,454.71 | $2,454.71 | $2,454.71 |
Providence Setting Facility Modifier None Typical Low $2,344.23 Median $3,388.44 Typical High $6,760.83 | Facility | None | $2,344.23 | $3,388.44 | $6,760.83 |
Providence Setting Professional Modifier None Typical Low $1,230.27 Median $2,691.53 Typical High $3,801.89 | Professional | None | $1,230.27 | $2,691.53 | $3,801.89 |
Regence BlueShield Setting Facility Modifier None Typical Low $4,897.79 Median $8,317.64 Typical High $10,471.29 | Facility | None | $4,897.79 | $8,317.64 | $10,471.29 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,819.70 Median $2,089.30 Typical High $2,951.21 | Professional | None | $1,819.70 | $2,089.30 | $2,951.21 |
United Setting Facility Modifier None Typical Low $2,951.21 Median $3,715.35 Typical High $3,890.45 | Facility | None | $2,951.21 | $3,715.35 | $3,890.45 |
United Setting Professional Modifier None Typical Low $251.19 Median $1,023.29 Typical High $2,570.40 | Professional | None | $251.19 | $1,023.29 | $2,570.40 |
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 $977.24 Median $1,174.90 Typical High $1,174.90 | Professional | 52 · Reduced service | $977.24 | $1,174.90 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $389.05 Median $478.63 Typical High $478.63 | Professional | 53 · Discontinued | $389.05 | $478.63 | $478.63 |
Where Oregon sits
The same service costs 6.8 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.
Oregon· 9th of 51
$2,692
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.