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 $7,244.36 Median $7,244.36 Typical High $12,882.50 | Facility | None | $7,244.36 | $7,244.36 | $12,882.50 |
Aetna Setting Professional Modifier None Typical Low $1,862.09 Median $2,818.38 Typical High $2,818.38 | Professional | None | $1,862.09 | $2,818.38 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $4,786.30 Median $5,370.32 Typical High $9,120.11 | Facility | None | $4,786.30 | $5,370.32 | $9,120.11 |
Cigna Setting Professional Modifier None Typical Low $2,187.76 Median $3,548.13 Typical High $5,248.07 | Professional | None | $2,187.76 | $3,548.13 | $5,248.07 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4,786.30 Median $7,079.46 Typical High $8,511.38 | Professional | None | $4,786.30 | $7,079.46 | $8,511.38 |
Moda Health Setting Facility Modifier None Typical Low $2,818.38 Median $2,951.21 Typical High $7,079.46 | Facility | None | $2,818.38 | $2,951.21 | $7,079.46 |
Moda Health Setting Professional Modifier None Typical Low $2,818.38 Median $2,951.21 Typical High $3,981.07 | Professional | None | $2,818.38 | $2,951.21 | $3,981.07 |
Pacific Source Setting Facility Modifier None Typical Low $2,951.21 Median $3,235.94 Typical High $5,888.44 | Facility | None | $2,951.21 | $3,235.94 | $5,888.44 |
Providence Setting Facility Modifier None Typical Low $2,818.38 Median $4,168.69 Typical High $8,128.31 | Facility | None | $2,818.38 | $4,168.69 | $8,128.31 |
Providence Setting Professional Modifier None Typical Low $2,630.27 Median $3,235.94 Typical High $4,570.88 | Professional | None | $2,630.27 | $3,235.94 | $4,570.88 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,888.44 Median $9,772.37 Typical High $12,302.69 | Facility | None | $5,888.44 | $9,772.37 | $12,302.69 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,187.76 Median $2,454.71 Typical High $3,467.37 | Professional | None | $2,187.76 | $2,454.71 | $3,467.37 |
United Setting Facility Modifier None Typical Low $3,467.37 Median $4,365.16 Typical High $4,677.35 | Facility | None | $3,467.37 | $4,365.16 | $4,677.35 |
United Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $3,467.37 | Professional | None | $1,230.27 | $1,230.27 | $3,467.37 |
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 $1,148.15 Median $1,412.54 Typical High $1,412.54 | Professional | 52 · Reduced service | $1,148.15 | $1,412.54 | $1,412.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $457.09 Median $562.34 Typical High $562.34 | Professional | 53 · Discontinued | $457.09 | $562.34 | $562.34 |
Where Oregon sits
The same service costs 5.4 times more in Alaska than in Alabama. 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
$3,236
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.