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 $1,479.11 Median $1,479.11 Typical High $2,691.53 | Facility | None | $1,479.11 | $1,479.11 | $2,691.53 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $575.44 Typical High $575.44 | Professional | None | $512.86 | $575.44 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $977.24 Median $1,659.59 Typical High $1,862.09 | Facility | None | $977.24 | $1,659.59 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $724.44 Typical High $1,071.52 | Professional | None | $446.68 | $724.44 | $1,071.52 |
Kaiser Permanente Setting Professional Modifier None Typical Low $977.24 Median $1,445.44 Typical High $1,737.80 | Professional | None | $977.24 | $1,445.44 | $1,737.80 |
Moda Health Setting Facility Modifier None Typical Low $537.03 Median $602.56 Typical High $1,479.11 | Facility | None | $537.03 | $602.56 | $1,479.11 |
Moda Health Setting Professional Modifier None Typical Low $575.44 Median $602.56 Typical High $812.83 | Professional | None | $575.44 | $602.56 | $812.83 |
Pacific Source Setting Facility Modifier None Typical Low $602.56 Median $676.08 Typical High $1,202.26 | Facility | None | $602.56 | $676.08 | $1,202.26 |
Pacific Source Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,122.02 | $1,122.02 | $1,122.02 |
Providence Setting Facility Modifier None Typical Low $575.44 Median $851.14 Typical High $1,778.28 | Facility | None | $575.44 | $851.14 | $1,778.28 |
Providence Setting Professional Modifier None Typical Low $602.56 Median $660.69 Typical High $933.25 | Professional | None | $602.56 | $660.69 | $933.25 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,202.26 Median $1,995.26 Typical High $2,570.40 | Facility | None | $1,202.26 | $1,995.26 | $2,570.40 |
Regence BlueShield Setting Professional Modifier None Typical Low $446.68 Median $512.86 Typical High $724.44 | Professional | None | $446.68 | $512.86 | $724.44 |
United Setting Facility Modifier None Typical Low $724.44 Median $891.25 Typical High $954.99 | Facility | None | $724.44 | $891.25 | $954.99 |
United Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $724.44 | Professional | None | $251.19 | $251.19 | $724.44 |
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 $269.15 Median $288.40 Typical High $288.40 | Professional | 52 · Reduced service | $269.15 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $114.82 Typical High $114.82 | Professional | 53 · Discontinued | $107.15 | $114.82 | $114.82 |
Where Oregon sits
The same service costs 3.8 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· 12th of 51
$661
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.