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 $67.61 Median $117.49 Typical High $190.55 | Facility | None | $67.61 | $117.49 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $74.13 Typical High $97.72 | Professional | None | $66.07 | $74.13 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $50.12 Typical High $102.33 | Professional | None | $48.98 | $50.12 | $102.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $102.33 Median $151.36 Typical High $204.17 | Professional | None | $102.33 | $151.36 | $204.17 |
Moda Health Setting Facility Modifier None Typical Low $70.79 Median $144.54 Typical High $954.99 | Facility | None | $70.79 | $144.54 | $954.99 |
Moda Health Setting Professional Modifier None Typical Low $67.61 Median $74.13 Typical High $97.72 | Professional | None | $67.61 | $74.13 | $97.72 |
Pacific Source Setting Facility Modifier None Typical Low $79.43 Median $128.82 Typical High $158.49 | Facility | None | $79.43 | $128.82 | $158.49 |
Providence Setting Facility Modifier None Typical Low $83.18 Median $117.49 Typical High $147.91 | Facility | None | $83.18 | $117.49 | $147.91 |
Providence Setting Professional Modifier None Typical Low $48.98 Median $79.43 Typical High $141.25 | Professional | None | $48.98 | $79.43 | $141.25 |
Regence BlueShield Setting Facility Modifier None Typical Low $389.05 Median $549.54 Typical High $630.96 | Facility | None | $389.05 | $549.54 | $630.96 |
Regence BlueShield Setting Professional Modifier None Typical Low $77.62 Median $89.13 Typical High $120.23 | Professional | None | $77.62 | $89.13 | $120.23 |
United Setting Facility Modifier None Typical Low $562.34 Median $707.95 Typical High $870.96 | Facility | None | $562.34 | $707.95 | $870.96 |
United Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $128.82 | Professional | None | $97.72 | $97.72 | $128.82 |
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 Facility Modifier 59 · Distinct service Typical Low $85.11 Median $851.14 Typical High $5,370.32 | Facility | 59 · Distinct service | $85.11 | $851.14 | $5,370.32 |
Where Oregon sits
The same service costs 1.9 times more in North Dakota 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· 4th of 51
$89.13
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.