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 $97.72 Median $123.03 Typical High $165.96 | Professional | None | $97.72 | $123.03 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $79.43 Typical High $138.04 | Professional | None | $77.62 | $79.43 | $138.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $186.21 Typical High $245.47 | Professional | None | $128.82 | $186.21 | $245.47 |
Moda Health Setting Facility Modifier None Typical Low $114.82 Median $218.78 Typical High $239.88 | Facility | None | $114.82 | $218.78 | $239.88 |
Moda Health Setting Professional Modifier None Typical Low $107.15 Median $123.03 Typical High $165.96 | Professional | None | $107.15 | $123.03 | $165.96 |
Pacific Source Setting Facility Modifier None Typical Low $123.03 Median $190.55 Typical High $204.17 | Facility | None | $123.03 | $190.55 | $204.17 |
Providence Setting Facility Modifier None Typical Low $95.50 Median $199.53 Typical High $251.19 | Facility | None | $95.50 | $199.53 | $251.19 |
Providence Setting Professional Modifier None Typical Low $77.62 Median $97.72 Typical High $186.21 | Professional | None | $77.62 | $97.72 | $186.21 |
Regence BlueShield Setting Facility Modifier None Typical Low $234.42 Median $309.03 Typical High $363.08 | Facility | None | $234.42 | $309.03 | $363.08 |
Regence BlueShield Setting Professional Modifier None Typical Low $97.72 Median $117.49 Typical High $158.49 | Professional | None | $97.72 | $117.49 | $158.49 |
United Setting Facility Modifier None Typical Low $323.59 Median $398.11 Typical High $501.19 | Facility | None | $323.59 | $398.11 | $501.19 |
United Setting Professional Modifier None Typical Low $144.54 Median $194.98 Typical High $295.12 | Professional | None | $144.54 | $194.98 | $295.12 |
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 |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier AF · Specialist physician + TD · Registered nurse Typical Low $165.96 Median $165.96 Typical High $177.83 | Facility | AF · Specialist physician + TD · Registered nurse | $165.96 | $165.96 | $177.83 |
Where Oregon sits
The same service costs 2.3 times more in Hawaii than in Arizona. 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
$123
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.