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 $102.33 Median $131.83 Typical High $173.78 | Professional | None | $102.33 | $131.83 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $81.28 Typical High $151.36 | Professional | None | $79.43 | $81.28 | $151.36 |
Kaiser Permanente Setting Professional Modifier None Typical Low $147.91 Median $204.17 Typical High $275.42 | Professional | None | $147.91 | $204.17 | $275.42 |
Moda Health Setting Facility Modifier None Typical Low $109.65 Median $251.19 Typical High $2,454.71 | Facility | None | $109.65 | $251.19 | $2,454.71 |
Moda Health Setting Professional Modifier None Typical Low $104.71 Median $131.83 Typical High $173.78 | Professional | None | $104.71 | $131.83 | $173.78 |
Pacific Source Setting Facility Modifier None Typical Low $120.23 Median $194.98 Typical High $204.17 | Facility | None | $120.23 | $194.98 | $204.17 |
Providence Setting Facility Modifier None Typical Low $123.03 Median $186.21 Typical High $263.03 | Facility | None | $123.03 | $186.21 | $263.03 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $112.20 Typical High $190.55 | Professional | None | $79.43 | $112.20 | $190.55 |
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 $117.49 Median $123.03 Typical High $158.49 | Professional | None | $117.49 | $123.03 | $158.49 |
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 $125.89 Median $125.89 Typical High $169.82 | Professional | None | $125.89 | $125.89 | $169.82 |
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 |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier AF · Specialist physician + TD · Registered nurse Typical Low $173.78 Median $173.78 Typical High $190.55 | Facility | AF · Specialist physician + TD · Registered nurse | $173.78 | $173.78 | $190.55 |
Where Oregon sits
The same service costs 1.7 times more in Alaska 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· 4th of 51
$126
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.