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 $36.31 Median $46.77 Typical High $57.54 | Professional | None | $36.31 | $46.77 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $63.10 Typical High $102.33 | Professional | None | $44.67 | $63.10 | $102.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $58.88 Median $74.13 Typical High $89.13 | Professional | None | $58.88 | $74.13 | $89.13 |
Moda Health Setting Facility Modifier None Typical Low $46.77 Median $81.28 Typical High $100.00 | Facility | None | $46.77 | $81.28 | $100.00 |
Moda Health Setting Professional Modifier None Typical Low $38.02 Median $46.77 Typical High $91.20 | Professional | None | $38.02 | $46.77 | $91.20 |
Pacific Source Setting Facility Modifier None Typical Low $42.66 Median $72.44 Typical High $72.44 | Facility | None | $42.66 | $72.44 | $72.44 |
Providence Setting Facility Modifier None Typical Low $33.88 Median $74.13 Typical High $100.00 | Facility | None | $33.88 | $74.13 | $100.00 |
Providence Setting Professional Modifier None Typical Low $53.70 Median $75.86 Typical High $104.71 | Professional | None | $53.70 | $75.86 | $104.71 |
Regence BlueShield Setting Professional Modifier None Typical Low $66.07 Median $72.44 Typical High $100.00 | Professional | None | $66.07 | $72.44 | $100.00 |
United Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $47.86 | Facility | None | $33.11 | $33.11 | $47.86 |
United Setting Professional Modifier None Typical Low $38.90 Median $72.44 Typical High $114.82 | Professional | None | $38.90 | $72.44 | $114.82 |
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 $18.20 Median $23.44 Typical High $23.44 | Professional | 52 · Reduced service | $18.20 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $9.33 Typical High $9.33 | Professional | 53 · Discontinued | $7.24 | $9.33 | $9.33 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $18.20 Median $23.44 Typical High $23.44 | Professional | 52 · Reduced service | $18.20 | $23.44 | $23.44 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $9.33 Typical High $9.33 | Professional | 53 · Discontinued | $7.24 | $9.33 | $9.33 |
Where Oregon sits
The same service costs 2.7 times more in Alaska than in New York. 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· 6th of 51
$69.18
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.