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 $2,290.87 Median $2,290.87 Typical High $4,073.80 | Facility | None | $2,290.87 | $2,290.87 | $4,073.80 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $891.25 Typical High $891.25 | Professional | None | $724.44 | $891.25 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $1,479.11 Median $1,698.24 Typical High $2,884.03 | Facility | None | $1,479.11 | $1,698.24 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $1,096.48 Typical High $1,621.81 | Professional | None | $912.01 | $1,096.48 | $1,621.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,513.56 Median $2,238.72 Typical High $2,691.53 | Professional | None | $1,513.56 | $2,238.72 | $2,691.53 |
Moda Health Setting Facility Modifier None Typical Low $831.76 Median $912.01 Typical High $2,238.72 | Facility | None | $831.76 | $912.01 | $2,238.72 |
Moda Health Setting Professional Modifier None Typical Low $891.25 Median $912.01 Typical High $1,230.27 | Professional | None | $891.25 | $912.01 | $1,230.27 |
Pacific Source Setting Facility Modifier None Typical Low $912.01 Median $1,000.00 Typical High $1,819.70 | Facility | None | $912.01 | $1,000.00 | $1,819.70 |
Providence Setting Facility Modifier None Typical Low $870.96 Median $1,318.26 Typical High $2,511.89 | Facility | None | $870.96 | $1,318.26 | $2,511.89 |
Providence Setting Professional Modifier None Typical Low $831.76 Median $1,000.00 Typical High $1,445.44 | Professional | None | $831.76 | $1,000.00 | $1,445.44 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,819.70 Median $3,090.30 Typical High $4,073.80 | Facility | None | $1,819.70 | $3,090.30 | $4,073.80 |
Regence BlueShield Setting Professional Modifier None Typical Low $691.83 Median $776.25 Typical High $1,096.48 | Professional | None | $691.83 | $776.25 | $1,096.48 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,380.38 Typical High $1,479.11 | Facility | None | $1,096.48 | $1,380.38 | $1,479.11 |
United Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $1,096.48 | Professional | None | $380.19 | $380.19 | $1,096.48 |
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 $446.68 Typical High $446.68 | Professional | 52 · Reduced service | $363.08 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $177.83 Typical High $177.83 | Professional | 53 · Discontinued | $144.54 | $177.83 | $177.83 |
Where Oregon sits
The same service costs 3.7 times more in Alaska than in Maine. 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· 8th of 51
$1,000
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.