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 $1,445.44 Median $1,445.44 Typical High $2,630.27 | Facility | None | $1,445.44 | $1,445.44 | $2,630.27 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $562.34 Typical High $707.95 | Professional | None | $501.19 | $562.34 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $2,137.96 Median $2,398.83 Typical High $4,073.80 | Facility | None | $2,137.96 | $2,398.83 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $1,047.13 Typical High $1,445.44 | Professional | None | $436.52 | $1,047.13 | $1,445.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,137.96 Median $3,162.28 Typical High $3,801.89 | Professional | None | $2,137.96 | $3,162.28 | $3,801.89 |
Moda Health Setting Facility Modifier None Typical Low $562.34 Median $1,318.26 Typical High $2,630.27 | Facility | None | $562.34 | $1,318.26 | $2,630.27 |
Moda Health Setting Professional Modifier None Typical Low $562.34 Median $776.25 Typical High $1,513.56 | Professional | None | $562.34 | $776.25 | $1,513.56 |
Pacific Source Setting Facility Modifier None Typical Low $588.84 Median $1,174.90 Typical High $1,445.44 | Facility | None | $588.84 | $1,174.90 | $1,445.44 |
Pacific Source Setting Professional Modifier None Typical Low $588.84 Median $1,318.26 Typical High $1,513.56 | Professional | None | $588.84 | $1,318.26 | $1,513.56 |
Providence Setting Facility Modifier None Typical Low $776.25 Median $1,737.80 Typical High $2,818.38 | Facility | None | $776.25 | $1,737.80 | $2,818.38 |
Providence Setting Professional Modifier None Typical Low $524.81 Median $776.25 Typical High $1,445.44 | Professional | None | $524.81 | $776.25 | $1,445.44 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,174.90 Median $2,041.74 Typical High $3,548.13 | Facility | None | $1,174.90 | $2,041.74 | $3,548.13 |
Regence BlueShield Setting Professional Modifier None Typical Low $977.24 Median $1,096.48 Typical High $1,548.82 | Professional | None | $977.24 | $1,096.48 | $1,548.82 |
United Setting Facility Modifier None Typical Low $1,548.82 Median $1,949.84 Typical High $2,089.30 | Facility | None | $1,548.82 | $1,949.84 | $2,089.30 |
United Setting Professional Modifier None Typical Low $245.47 Median $331.13 Typical High $1,023.29 | Professional | None | $245.47 | $331.13 | $1,023.29 |
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 $251.19 Median $281.84 Typical High $281.84 | Professional | 52 · Reduced service | $251.19 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $112.20 Typical High $112.20 | Professional | 53 · Discontinued | $100.00 | $112.20 | $112.20 |
Where Oregon sits
The same service costs 4.0 times more in Wisconsin 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
$1,047
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.