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 $33.88 Median $51.29 Typical High $120.23 | Professional | None | $33.88 | $51.29 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $95.50 Typical High $354.81 | Professional | None | $45.71 | $95.50 | $354.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $54.95 Median $77.62 Typical High $354.81 | Professional | None | $54.95 | $77.62 | $354.81 |
Moda Health Setting Facility Modifier None Typical Low $60.26 Median $117.49 Typical High $151.36 | Facility | None | $60.26 | $117.49 | $151.36 |
Moda Health Setting Professional Modifier None Typical Low $38.02 Median $72.44 Typical High $251.19 | Professional | None | $38.02 | $72.44 | $251.19 |
Pacific Source Setting Facility Modifier None Typical Low $74.13 Median $144.54 Typical High $251.19 | Facility | None | $74.13 | $144.54 | $251.19 |
Providence Setting Facility Modifier None Typical Low $48.98 Median $123.03 Typical High $257.04 | Facility | None | $48.98 | $123.03 | $257.04 |
Providence Setting Professional Modifier None Typical Low $52.48 Median $89.13 Typical High $309.03 | Professional | None | $52.48 | $89.13 | $309.03 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,445.44 Median $1,862.09 Typical High $2,187.76 | Facility | None | $1,445.44 | $1,862.09 | $2,187.76 |
Regence BlueShield Setting Professional Modifier None Typical Low $64.57 Median $104.71 Typical High $323.59 | Professional | None | $64.57 | $104.71 | $323.59 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,479.11 Typical High $1,819.70 | Facility | None | $1,174.90 | $1,479.11 | $1,819.70 |
United Setting Professional Modifier None Typical Low $36.31 Median $87.10 Typical High $288.40 | Professional | None | $36.31 | $87.10 | $288.40 |
4 more rates 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 Professional Modifier 52 · Reduced service Typical Low $17.38 Median $25.70 Typical High $58.88 | Professional | 52 · Reduced service | $17.38 | $25.70 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $10.23 Typical High $23.99 | Professional | 53 · Discontinued | $6.92 | $10.23 | $23.99 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $18.62 Median $21.88 Typical High $58.88 | Professional | 52 · Reduced service | $18.62 | $21.88 | $58.88 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $8.71 Typical High $23.99 | Professional | 53 · Discontinued | $7.59 | $8.71 | $23.99 |
Where Oregon sits
The same service costs 4.2 times more in Washington than in Maryland. 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· 10th of 51
$93.33
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.