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 $1,778.28 Median $1,905.46 Typical High $3,388.44 | Facility | None | $1,778.28 | $1,905.46 | $3,388.44 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $741.31 Typical High $741.31 | Professional | None | $707.95 | $741.31 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $1,949.84 Typical High $2,398.83 | Facility | None | $1,230.27 | $1,949.84 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $851.14 Typical High $1,348.96 | Professional | None | $446.68 | $851.14 | $1,348.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,258.93 Median $1,862.09 Typical High $2,238.72 | Professional | None | $1,258.93 | $1,862.09 | $2,238.72 |
Moda Health Setting Facility Modifier None Typical Low $741.31 Median $758.58 Typical High $3,388.44 | Facility | None | $741.31 | $758.58 | $3,388.44 |
Moda Health Setting Professional Modifier None Typical Low $724.44 Median $758.58 Typical High $1,023.29 | Professional | None | $724.44 | $758.58 | $1,023.29 |
Pacific Source Setting Facility Modifier None Typical Low $758.58 Median $831.76 Typical High $1,513.56 | Facility | None | $758.58 | $831.76 | $1,513.56 |
Pacific Source Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
Providence Setting Facility Modifier None Typical Low $724.44 Median $1,096.48 Typical High $2,089.30 | Facility | None | $724.44 | $1,096.48 | $2,089.30 |
Providence Setting Professional Modifier None Typical Low $446.68 Median $831.76 Typical High $1,148.15 | Professional | None | $446.68 | $831.76 | $1,148.15 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,513.56 Median $2,570.40 Typical High $3,235.94 | Facility | None | $1,513.56 | $2,570.40 | $3,235.94 |
Regence BlueShield Setting Professional Modifier None Typical Low $575.44 Median $645.65 Typical High $912.01 | Professional | None | $575.44 | $645.65 | $912.01 |
United Setting Facility Modifier None Typical Low $912.01 Median $1,148.15 Typical High $1,202.26 | Facility | None | $912.01 | $1,148.15 | $1,202.26 |
United Setting Professional Modifier None Typical Low $38.02 Median $316.23 Typical High $794.33 | Professional | None | $38.02 | $316.23 | $794.33 |
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 $363.08 Median $371.54 Typical High $371.54 | Professional | 52 · Reduced service | $363.08 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $147.91 Typical High $147.91 | Professional | 53 · Discontinued | $144.54 | $147.91 | $147.91 |
Where Oregon sits
The same service costs 4.5 times more in Alaska than in West Virginia. 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
$832
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.