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 $1,995.26 Median $1,995.26 Typical High $3,548.13 | Facility | None | $1,995.26 | $1,995.26 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $831.76 | Professional | None | $776.25 | $776.25 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $2,187.76 Typical High $2,511.89 | Facility | None | $1,288.25 | $2,187.76 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $891.25 Typical High $1,412.54 | Professional | None | $691.83 | $891.25 | $1,412.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,318.26 Median $1,949.84 Typical High $2,344.23 | Professional | None | $1,318.26 | $1,949.84 | $2,344.23 |
Moda Health Setting Facility Modifier None Typical Low $707.95 Median $794.33 Typical High $1,949.84 | Facility | None | $707.95 | $794.33 | $1,949.84 |
Moda Health Setting Professional Modifier None Typical Low $776.25 Median $794.33 Typical High $1,071.52 | Professional | None | $776.25 | $794.33 | $1,071.52 |
Pacific Source Setting Facility Modifier None Typical Low $794.33 Median $891.25 Typical High $1,584.89 | Facility | None | $794.33 | $891.25 | $1,584.89 |
Providence Setting Facility Modifier None Typical Low $758.58 Median $1,148.15 Typical High $2,344.23 | Facility | None | $758.58 | $1,148.15 | $2,344.23 |
Providence Setting Professional Modifier None Typical Low $691.83 Median $870.96 Typical High $1,258.93 | Professional | None | $691.83 | $870.96 | $1,258.93 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,584.89 Median $2,691.53 Typical High $3,388.44 | Facility | None | $1,584.89 | $2,691.53 | $3,388.44 |
Regence BlueShield Setting Professional Modifier None Typical Low $602.56 Median $676.08 Typical High $954.99 | Professional | None | $602.56 | $676.08 | $954.99 |
United Setting Facility Modifier None Typical Low $954.99 Median $1,202.26 Typical High $1,258.93 | Facility | None | $954.99 | $1,202.26 | $1,258.93 |
United Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $954.99 | Professional | None | $331.13 | $331.13 | $954.99 |
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 $389.05 Median $389.05 Typical High $416.87 | Professional | 52 · Reduced service | $389.05 | $389.05 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $154.88 Typical High $165.96 | Professional | 53 · Discontinued | $154.88 | $154.88 | $165.96 |
Where Oregon sits
The same service costs 3.7 times more in Alaska than in Kentucky. 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· 9th of 51
$871
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.