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 $104.71 Median $125.89 Typical High $218.78 | Facility | None | $104.71 | $125.89 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $104.71 Typical High $190.55 | Professional | None | $93.33 | $104.71 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $123.03 Typical High $239.88 | Professional | None | $114.82 | $123.03 | $239.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $213.80 Median $245.47 Typical High $309.03 | Professional | None | $213.80 | $245.47 | $309.03 |
Moda Health Setting Facility Modifier None Typical Low $104.71 Median $218.78 Typical High $436.52 | Facility | None | $104.71 | $218.78 | $436.52 |
Moda Health Setting Professional Modifier None Typical Low $104.71 Median $125.89 Typical High $218.78 | Professional | None | $104.71 | $125.89 | $218.78 |
Pacific Source Setting Facility Modifier None Typical Low $109.65 Median $177.83 Typical High $223.87 | Facility | None | $109.65 | $177.83 | $223.87 |
Providence Setting Facility Modifier None Typical Low $107.15 Median $218.78 Typical High $436.52 | Facility | None | $107.15 | $218.78 | $436.52 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $123.03 Typical High $295.12 | Professional | None | $79.43 | $123.03 | $295.12 |
Regence BlueShield Setting Facility Modifier None Typical Low $162.18 Median $245.47 Typical High $457.09 | Facility | None | $162.18 | $245.47 | $457.09 |
Regence BlueShield Setting Professional Modifier None Typical Low $204.17 Median $213.80 Typical High $223.87 | Professional | None | $204.17 | $213.80 | $223.87 |
United Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $177.83 | Facility | None | $123.03 | $123.03 | $177.83 |
United Setting Professional Modifier None Typical Low $131.83 Median $165.96 Typical High $316.23 | Professional | None | $131.83 | $165.96 | $316.23 |
2 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 $52.48 Median $52.48 Typical High $52.48 | Professional | 52 · Reduced service | $52.48 | $52.48 | $52.48 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 52 · Reduced service | $52.48 | $52.48 | $52.48 |
Where Oregon sits
The same service costs 3.3 times more in Alaska 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· 7th of 51
$166
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.