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 $2,089.30 Median $2,089.30 Typical High $3,715.35 | Facility | None | $2,089.30 | $2,089.30 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $812.83 Typical High $812.83 | Professional | None | $537.03 | $812.83 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $1,737.80 Typical High $2,630.27 | Facility | None | $1,380.38 | $1,737.80 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $1,023.29 Typical High $1,513.56 | Professional | None | $831.76 | $1,023.29 | $1,513.56 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,380.38 Median $2,041.74 Typical High $2,454.71 | Professional | None | $1,380.38 | $2,041.74 | $2,454.71 |
Moda Health Setting Facility Modifier None Typical Low $758.58 Median $831.76 Typical High $1,445.44 | Facility | None | $758.58 | $831.76 | $1,445.44 |
Moda Health Setting Professional Modifier None Typical Low $812.83 Median $831.76 Typical High $1,122.02 | Professional | None | $812.83 | $831.76 | $1,122.02 |
Pacific Source Setting Facility Modifier None Typical Low $831.76 Median $954.99 Typical High $1,698.24 | Facility | None | $831.76 | $954.99 | $1,698.24 |
Pacific Source Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
Providence Setting Facility Modifier None Typical Low $812.83 Median $1,202.26 Typical High $2,344.23 | Facility | None | $812.83 | $1,202.26 | $2,344.23 |
Providence Setting Professional Modifier None Typical Low $758.58 Median $933.25 Typical High $1,318.26 | Professional | None | $758.58 | $933.25 | $1,318.26 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,698.24 Median $2,818.38 Typical High $3,548.13 | Facility | None | $1,698.24 | $2,818.38 | $3,548.13 |
Regence BlueShield Setting Professional Modifier None Typical Low $630.96 Median $707.95 Typical High $1,000.00 | Professional | None | $630.96 | $707.95 | $1,000.00 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $1,258.93 Typical High $1,348.96 | Facility | None | $1,000.00 | $1,258.93 | $1,348.96 |
United Setting Professional Modifier None Typical Low $245.47 Median $354.81 Typical High $1,000.00 | Professional | None | $245.47 | $354.81 | $1,000.00 |
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 $331.13 Median $407.38 Typical High $407.38 | Professional | 52 · Reduced service | $331.13 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $162.18 Typical High $162.18 | Professional | 53 · Discontinued | $131.83 | $162.18 | $162.18 |
Where Oregon sits
The same service costs 5.4 times more in Alaska than in Georgia. 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
$933
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.