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 $26.92 Median $33.11 Typical High $47.86 | Facility | None | $26.92 | $33.11 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $26.92 Typical High $40.74 | Professional | None | $10.00 | $26.92 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $26.30 | Professional | None | $21.38 | $21.38 | $26.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $44.67 Median $53.70 Typical High $56.23 | Professional | None | $44.67 | $53.70 | $56.23 |
Moda Health Setting Facility Modifier None Typical Low $27.54 Median $58.88 Typical High $223.87 | Facility | None | $27.54 | $58.88 | $223.87 |
Moda Health Setting Professional Modifier None Typical Low $12.59 Median $33.11 Typical High $69.18 | Professional | None | $12.59 | $33.11 | $69.18 |
Pacific Source Setting Facility Modifier None Typical Low $19.05 Median $38.90 Typical High $47.86 | Facility | None | $19.05 | $38.90 | $47.86 |
Providence Setting Facility Modifier None Typical Low $26.92 Median $50.12 Typical High $64.57 | Facility | None | $26.92 | $50.12 | $64.57 |
Providence Setting Professional Modifier None Typical Low $21.38 Median $42.66 Typical High $79.43 | Professional | None | $21.38 | $42.66 | $79.43 |
Regence BlueShield Setting Facility Modifier None Typical Low $181.97 Median $245.47 Typical High $288.40 | Facility | None | $181.97 | $245.47 | $288.40 |
United Setting Facility Modifier None Typical Low $229.09 Median $288.40 Typical High $354.81 | Facility | None | $229.09 | $288.40 | $354.81 |
United Setting Professional Modifier None Typical Low $14.45 Median $48.98 Typical High $70.79 | Professional | None | $14.45 | $48.98 | $70.79 |
1 more rate 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 |
|---|---|---|---|---|---|
Moda Health Setting Professional Modifier 59 · Distinct service Typical Low $10.00 Median $34.67 Typical High $48.98 | Professional | 59 · Distinct service | $10.00 | $34.67 | $48.98 |
Where Oregon sits
The same service costs 5.4 times more in Vermont than in Kansas. 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
$38.02
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.