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 Professional Modifier None Typical Low $131.83 Median $158.49 Typical High $213.80 | Professional | None | $131.83 | $158.49 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $104.71 Typical High $229.09 | Professional | None | $102.33 | $104.71 | $229.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $194.98 Median $281.84 Typical High $380.19 | Professional | None | $194.98 | $281.84 | $380.19 |
Moda Health Setting Facility Modifier None Typical Low $213.80 Median $309.03 Typical High $380.19 | Facility | None | $213.80 | $309.03 | $380.19 |
Moda Health Setting Professional Modifier None Typical Low $134.90 Median $158.49 Typical High $213.80 | Professional | None | $134.90 | $158.49 | $213.80 |
Pacific Source Setting Facility Modifier None Typical Low $165.96 Median $251.19 Typical High $295.12 | Facility | None | $165.96 | $251.19 | $295.12 |
Providence Setting Facility Modifier None Typical Low $154.88 Median $218.78 Typical High $309.03 | Facility | None | $154.88 | $218.78 | $309.03 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $147.91 Typical High $263.03 | Professional | None | $79.43 | $147.91 | $263.03 |
Regence BlueShield Setting Facility Modifier None Typical Low $389.05 Median $562.34 Typical High $630.96 | Facility | None | $389.05 | $562.34 | $630.96 |
Regence BlueShield Setting Professional Modifier None Typical Low $147.91 Median $169.82 Typical High $223.87 | Professional | None | $147.91 | $169.82 | $223.87 |
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 $181.97 Median $181.97 Typical High $239.88 | Professional | None | $181.97 | $181.97 | $239.88 |
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 |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier AF · Specialist physician + TD · Registered nurse Typical Low $213.80 Median $213.80 Typical High $229.09 | Facility | AF · Specialist physician + TD · Registered nurse | $213.80 | $213.80 | $229.09 |
Where Oregon sits
The same service costs 1.7 times more in North Dakota than in Ohio. 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· 5th of 51
$170
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.