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 $5,370.32 Median $5,370.32 Typical High $9,549.93 | Facility | None | $5,370.32 | $5,370.32 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $2,089.30 Typical High $2,089.30 | Professional | None | $1,288.25 | $2,089.30 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $3,467.37 Median $3,981.07 Typical High $6,760.83 | Facility | None | $3,467.37 | $3,981.07 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $1,584.89 Median $2,630.27 Typical High $3,890.45 | Professional | None | $1,584.89 | $2,630.27 | $3,890.45 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,548.13 Median $5,248.07 Typical High $6,309.57 | Professional | None | $3,548.13 | $5,248.07 | $6,309.57 |
Moda Health Setting Facility Modifier None Typical Low $1,479.11 Median $2,137.96 Typical High $2,951.21 | Facility | None | $1,479.11 | $2,137.96 | $2,951.21 |
Moda Health Setting Professional Modifier None Typical Low $2,089.30 Median $2,137.96 Typical High $2,884.03 | Professional | None | $2,089.30 | $2,137.96 | $2,884.03 |
Pacific Source Setting Facility Modifier None Typical Low $2,137.96 Median $2,398.83 Typical High $4,265.80 | Facility | None | $2,137.96 | $2,398.83 | $4,265.80 |
Providence Setting Facility Modifier None Typical Low $1,479.11 Median $2,951.21 Typical High $5,888.44 | Facility | None | $1,479.11 | $2,951.21 | $5,888.44 |
Providence Setting Professional Modifier None Typical Low $1,258.93 Median $2,344.23 Typical High $3,388.44 | Professional | None | $1,258.93 | $2,344.23 | $3,388.44 |
Regence BlueShield Setting Facility Modifier None Typical Low $4,265.80 Median $7,244.36 Typical High $9,120.11 | Facility | None | $4,265.80 | $7,244.36 | $9,120.11 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,621.81 Median $1,819.70 Typical High $2,570.40 | Professional | None | $1,621.81 | $1,819.70 | $2,570.40 |
United Setting Facility Modifier None Typical Low $2,570.40 Median $3,235.94 Typical High $3,467.37 | Facility | None | $2,570.40 | $3,235.94 | $3,467.37 |
United Setting Professional Modifier None Typical Low $251.19 Median $891.25 Typical High $2,238.72 | Professional | None | $251.19 | $891.25 | $2,238.72 |
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 $851.14 Median $1,047.13 Typical High $1,047.13 | Professional | 52 · Reduced service | $851.14 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $338.84 Median $416.87 Typical High $416.87 | Professional | 53 · Discontinued | $338.84 | $416.87 | $416.87 |
Where Oregon sits
The same service costs 6.0 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· 10th of 51
$2,344
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.