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 $89.13 Median $93.33 Typical High $131.83 | Professional | None | $89.13 | $93.33 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $81.28 Typical High $190.55 | Professional | None | $75.86 | $81.28 | $190.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $141.25 Median $165.96 Typical High $208.93 | Professional | None | $141.25 | $165.96 | $208.93 |
Moda Health Setting Facility Modifier None Typical Low $134.90 Median $199.53 Typical High $245.47 | Facility | None | $134.90 | $199.53 | $245.47 |
Moda Health Setting Professional Modifier None Typical Low $75.86 Median $100.00 Typical High $234.42 | Professional | None | $75.86 | $100.00 | $234.42 |
Pacific Source Setting Facility Modifier None Typical Low $81.28 Median $134.90 Typical High $154.88 | Facility | None | $81.28 | $134.90 | $154.88 |
Providence Setting Facility Modifier None Typical Low $97.72 Median $186.21 Typical High $218.78 | Facility | None | $97.72 | $186.21 | $218.78 |
Providence Setting Professional Modifier None Typical Low $75.86 Median $109.65 Typical High $181.97 | Professional | None | $75.86 | $109.65 | $181.97 |
Regence BlueShield Setting Professional Modifier None Typical Low $131.83 Median $138.04 Typical High $144.54 | Professional | None | $131.83 | $138.04 | $144.54 |
United Setting Professional Modifier None Typical Low $102.33 Median $141.25 Typical High $234.42 | Professional | None | $102.33 | $141.25 | $234.42 |
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 $46.77 Median $46.77 Typical High $46.77 | Professional | 52 · Reduced service | $46.77 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | 53 · Discontinued | $18.62 | $18.62 | $18.62 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | 52 · Reduced service | $46.77 | $46.77 | $46.77 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | 53 · Discontinued | $18.62 | $18.62 | $18.62 |
Where Oregon sits
The same service costs 2.7 times more in Minnesota than in Florida. 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· 14th 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.