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 $12,022.64 Median $12,022.64 Typical High $21,379.62 | Facility | None | $12,022.64 | $12,022.64 | $21,379.62 |
Aetna Setting Professional Modifier None Typical Low $2,511.89 Median $4,677.35 Typical High $4,677.35 | Professional | None | $2,511.89 | $4,677.35 | $4,677.35 |
Cigna Setting Facility Modifier None Typical Low $7,762.47 Median $8,912.51 Typical High $15,135.61 | Facility | None | $7,762.47 | $8,912.51 | $15,135.61 |
Cigna Setting Professional Modifier None Typical Low $3,801.89 Median $5,754.40 Typical High $8,511.38 | Professional | None | $3,801.89 | $5,754.40 | $8,511.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $7,762.47 Median $11,748.98 Typical High $14,125.38 | Professional | None | $7,762.47 | $11,748.98 | $14,125.38 |
Moda Health Setting Facility Modifier None Typical Low $3,019.95 Median $4,786.30 Typical High $11,748.98 | Facility | None | $3,019.95 | $4,786.30 | $11,748.98 |
Moda Health Setting Professional Modifier None Typical Low $4,677.35 Median $4,786.30 Typical High $6,456.54 | Professional | None | $4,677.35 | $4,786.30 | $6,456.54 |
Pacific Source Setting Facility Modifier None Typical Low $4,786.30 Median $5,370.32 Typical High $9,549.93 | Facility | None | $4,786.30 | $5,370.32 | $9,549.93 |
Providence Setting Facility Modifier None Typical Low $4,570.88 Median $6,918.31 Typical High $13,182.57 | Facility | None | $4,570.88 | $6,918.31 | $13,182.57 |
Providence Setting Professional Modifier None Typical Low $4,265.80 Median $5,248.07 Typical High $7,413.10 | Professional | None | $4,265.80 | $5,248.07 | $7,413.10 |
Regence BlueShield Setting Facility Modifier None Typical Low $9,549.93 Median $16,218.10 Typical High $20,417.38 | Facility | None | $9,549.93 | $16,218.10 | $20,417.38 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,548.13 Median $4,073.80 Typical High $5,754.40 | Professional | None | $3,548.13 | $4,073.80 | $5,754.40 |
United Setting Facility Modifier None Typical Low $5,754.40 Median $7,244.36 Typical High $7,585.78 | Facility | None | $5,754.40 | $7,244.36 | $7,585.78 |
United Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $5,754.40 | Professional | None | $1,995.26 | $1,995.26 | $5,754.40 |
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 $1,905.46 Median $2,344.23 Typical High $2,344.23 | Professional | 52 · Reduced service | $1,905.46 | $2,344.23 | $2,344.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $758.58 Median $933.25 Typical High $933.25 | Professional | 53 · Discontinued | $758.58 | $933.25 | $933.25 |
Where Oregon sits
The same service costs 10.7 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· 11th of 51
$5,248
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.