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 $3,235.94 Median $3,235.94 Typical High $5,754.40 | Facility | None | $3,235.94 | $3,235.94 | $5,754.40 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,258.93 Typical High $1,584.89 | Professional | None | $1,202.26 | $1,258.93 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $2,089.30 Median $2,398.83 Typical High $4,073.80 | Facility | None | $2,089.30 | $2,398.83 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $1,548.82 Typical High $2,290.87 | Professional | None | $954.99 | $1,548.82 | $2,290.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,089.30 Median $3,162.28 Typical High $3,801.89 | Professional | None | $2,089.30 | $3,162.28 | $3,801.89 |
Moda Health Setting Facility Modifier None Typical Low $1,148.15 Median $1,288.25 Typical High $3,162.28 | Facility | None | $1,148.15 | $1,288.25 | $3,162.28 |
Moda Health Setting Professional Modifier None Typical Low $1,258.93 Median $1,288.25 Typical High $1,737.80 | Professional | None | $1,258.93 | $1,288.25 | $1,737.80 |
Pacific Source Setting Facility Modifier None Typical Low $1,288.25 Median $1,445.44 Typical High $2,570.40 | Facility | None | $1,288.25 | $1,445.44 | $2,570.40 |
Providence Setting Facility Modifier None Typical Low $1,230.27 Median $1,862.09 Typical High $3,548.13 | Facility | None | $1,230.27 | $1,862.09 | $3,548.13 |
Providence Setting Professional Modifier None Typical Low $1,148.15 Median $1,412.54 Typical High $1,995.26 | Professional | None | $1,148.15 | $1,412.54 | $1,995.26 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,570.40 Median $4,365.16 Typical High $5,495.41 | Facility | None | $2,570.40 | $4,365.16 | $5,495.41 |
Regence BlueShield Setting Professional Modifier None Typical Low $954.99 Median $1,096.48 Typical High $1,548.82 | Professional | None | $954.99 | $1,096.48 | $1,548.82 |
United Setting Facility Modifier None Typical Low $1,548.82 Median $1,949.84 Typical High $2,041.74 | Facility | None | $1,548.82 | $1,949.84 | $2,041.74 |
United Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $1,548.82 | Professional | None | $537.03 | $537.03 | $1,548.82 |
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 $630.96 Median $630.96 Typical High $794.33 | Professional | 52 · Reduced service | $630.96 | $630.96 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $251.19 Typical High $316.23 | Professional | 53 · Discontinued | $251.19 | $251.19 | $316.23 |
Where Oregon sits
The same service costs 4.9 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· 14th of 51
$1,413
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.