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 $15.85 Median $16.22 Typical High $33.88 | Facility | None | $15.85 | $16.22 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $13.18 Typical High $28.84 | Professional | None | $10.00 | $13.18 | $28.84 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $15.14 Typical High $18.62 | Professional | None | $13.18 | $15.14 | $18.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $31.62 Median $38.90 Typical High $40.74 | Professional | None | $31.62 | $38.90 | $40.74 |
Moda Health Setting Facility Modifier None Typical Low $15.85 Median $27.54 Typical High $47.86 | Facility | None | $15.85 | $27.54 | $47.86 |
Moda Health Setting Professional Modifier None Typical Low $10.72 Median $23.99 Typical High $39.81 | Professional | None | $10.72 | $23.99 | $39.81 |
Pacific Source Setting Facility Modifier None Typical Low $14.45 Median $23.99 Typical High $28.84 | Facility | None | $14.45 | $23.99 | $28.84 |
Providence Setting Facility Modifier None Typical Low $13.18 Median $24.55 Typical High $33.11 | Facility | None | $13.18 | $24.55 | $33.11 |
Providence Setting Professional Modifier None Typical Low $12.59 Median $19.95 Typical High $79.43 | Professional | None | $12.59 | $19.95 | $79.43 |
United Setting Professional Modifier None Typical Low $12.88 Median $26.30 Typical High $50.12 | Professional | None | $12.88 | $26.30 | $50.12 |
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 $13.18 Median $34.67 Typical High $38.90 | Professional | 59 · Distinct service | $13.18 | $34.67 | $38.90 |
Where Oregon sits
The same service costs 5.6 times more in Alabama 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· 7th of 51
$23.99
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.