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 $181.97 Median $181.97 Typical High $213.80 | Facility | None | $181.97 | $181.97 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $87.10 Typical High $102.33 | Professional | None | $74.13 | $87.10 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $218.78 Typical High $257.04 | Facility | None | $128.82 | $218.78 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $83.18 Typical High $158.49 | Professional | None | $48.98 | $83.18 | $158.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $93.33 Median $154.88 Typical High $275.42 | Professional | None | $93.33 | $154.88 | $275.42 |
Moda Health Setting Facility Modifier None Typical Low $63.10 Median $181.97 Typical High $245.47 | Facility | None | $63.10 | $181.97 | $245.47 |
Moda Health Setting Professional Modifier None Typical Low $79.43 Median $102.33 Typical High $234.42 | Professional | None | $79.43 | $102.33 | $234.42 |
Pacific Source Setting Facility Modifier None Typical Low $114.82 Median $177.83 Typical High $194.98 | Facility | None | $114.82 | $177.83 | $194.98 |
Providence Setting Facility Modifier None Typical Low $95.50 Median $218.78 Typical High $257.04 | Facility | None | $95.50 | $218.78 | $257.04 |
Providence Setting Professional Modifier None Typical Low $69.18 Median $158.49 Typical High $281.84 | Professional | None | $69.18 | $158.49 | $281.84 |
Regence BlueShield Setting Facility Modifier None Typical Low $100.00 Median $138.04 Typical High $154.88 | Facility | None | $100.00 | $138.04 | $154.88 |
Regence BlueShield Setting Professional Modifier None Typical Low $144.54 Median $177.83 Typical High $288.40 | Professional | None | $144.54 | $177.83 | $288.40 |
United Setting Facility Modifier None Typical Low $117.49 Median $147.91 Typical High $186.21 | Facility | None | $117.49 | $147.91 | $186.21 |
United Setting Professional Modifier None Typical Low $52.48 Median $154.88 Typical High $331.13 | Professional | None | $52.48 | $154.88 | $331.13 |
4 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 $41.69 Median $42.66 Typical High $48.98 | Professional | 52 · Reduced service | $41.69 | $42.66 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.98 Typical High $19.50 | Professional | 53 · Discontinued | $16.60 | $16.98 | $19.50 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $42.66 Typical High $48.98 | Professional | 52 · Reduced service | $41.69 | $42.66 | $48.98 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.98 Typical High $19.50 | Professional | 53 · Discontinued | $16.60 | $16.98 | $19.50 |
Where Oregon sits
The same service costs 4.5 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· 3rd of 51
$158
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.