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 $19.50 Median $19.50 Typical High $34.67 | Facility | None | $19.50 | $19.50 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $6.31 Median $7.59 Typical High $7.59 | Professional | None | $6.31 | $7.59 | $7.59 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $21.38 Typical High $23.99 | Facility | None | $12.59 | $21.38 | $23.99 |
Cigna Setting Professional Modifier None Typical Low $3.98 Median $8.71 Typical High $14.13 | Professional | None | $3.98 | $8.71 | $14.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $12.59 Median $18.62 Typical High $22.39 | Professional | None | $12.59 | $18.62 | $22.39 |
Moda Health Setting Facility Modifier None Typical Low $5.13 Median $7.76 Typical High $17.38 | Facility | None | $5.13 | $7.76 | $17.38 |
Moda Health Setting Professional Modifier None Typical Low $7.24 Median $7.76 Typical High $10.47 | Professional | None | $7.24 | $7.76 | $10.47 |
Pacific Source Setting Facility Modifier None Typical Low $7.76 Median $8.51 Typical High $15.49 | Facility | None | $7.76 | $8.51 | $15.49 |
Providence Setting Facility Modifier None Typical Low $7.41 Median $11.22 Typical High $21.38 | Facility | None | $7.41 | $11.22 | $21.38 |
Providence Setting Professional Modifier None Typical Low $7.24 Median $8.51 Typical High $79.43 | Professional | None | $7.24 | $8.51 | $79.43 |
Regence BlueShield Setting Facility Modifier None Typical Low $15.49 Median $26.30 Typical High $34.67 | Facility | None | $15.49 | $26.30 | $34.67 |
Regence BlueShield Setting Professional Modifier None Typical Low $5.75 Median $6.61 Typical High $9.33 | Professional | None | $5.75 | $6.61 | $9.33 |
United Setting Facility Modifier None Typical Low $9.33 Median $11.48 Typical High $12.30 | Facility | None | $9.33 | $11.48 | $12.30 |
United Setting Professional Modifier None Typical Low $3.02 Median $3.24 Typical High $9.33 | Professional | None | $3.02 | $3.24 | $9.33 |
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 $3.16 Median $3.80 Typical High $3.80 | Professional | 52 · Reduced service | $3.16 | $3.80 | $3.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.26 Median $1.51 Typical High $1.51 | Professional | 53 · Discontinued | $1.26 | $1.51 | $1.51 |
Where Oregon sits
The same service costs 3.7 times more in Alaska than in Delaware. 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
$8.51
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.