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 $1,096.48 Median $1,096.48 Typical High $1,949.84 | Facility | None | $1,096.48 | $1,096.48 | $1,949.84 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $537.03 | Professional | None | $426.58 | $426.58 | $537.03 |
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 $323.59 Median $794.33 Typical High $1,584.89 | Professional | None | $323.59 | $794.33 | $1,584.89 |
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 $398.11 Median $1,318.26 Typical High $1,949.84 | Facility | None | $398.11 | $1,318.26 | $1,949.84 |
Moda Health Setting Professional Modifier None Typical Low $426.58 Median $549.54 Typical High $1,548.82 | Professional | None | $426.58 | $549.54 | $1,548.82 |
Pacific Source Setting Facility Modifier None Typical Low $436.52 Median $891.25 Typical High $1,479.11 | Facility | None | $436.52 | $891.25 | $1,479.11 |
Pacific Source Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,318.26 | $1,318.26 | $1,318.26 |
Providence Setting Facility Modifier None Typical Low $575.44 Median $1,479.11 Typical High $2,818.38 | Facility | None | $575.44 | $1,479.11 | $2,818.38 |
Providence Setting Professional Modifier None Typical Low $478.63 Median $616.60 Typical High $1,445.44 | Professional | None | $478.63 | $616.60 | $1,445.44 |
Regence BlueShield Setting Facility Modifier None Typical Low $870.96 Median $1,548.82 Typical High $2,951.21 | Facility | None | $870.96 | $1,548.82 | $2,951.21 |
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 $186.21 Median $251.19 Typical High $758.58 | Professional | None | $186.21 | $251.19 | $758.58 |
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 $213.80 Median $213.80 Typical High $263.03 | Professional | 52 · Reduced service | $213.80 | $213.80 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $107.15 | Professional | 53 · Discontinued | $85.11 | $85.11 | $107.15 |
Where Oregon sits
The same service costs 5.2 times more in North Dakota 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· 15th of 51
$891
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.