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 $100.00 Median $107.15 Typical High $138.04 | Professional | None | $100.00 | $107.15 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $93.33 Typical High $199.53 | Professional | None | $74.13 | $93.33 | $199.53 |
Kaiser Permanente Setting Professional Modifier None Typical Low $134.90 Median $162.18 Typical High $199.53 | Professional | None | $134.90 | $162.18 | $199.53 |
Moda Health Setting Facility Modifier None Typical Low $107.15 Median $208.93 Typical High $239.88 | Facility | None | $107.15 | $208.93 | $239.88 |
Moda Health Setting Professional Modifier None Typical Low $79.43 Median $109.65 Typical High $234.42 | Professional | None | $79.43 | $109.65 | $234.42 |
Pacific Source Setting Facility Modifier None Typical Low $100.00 Median $144.54 Typical High $177.83 | Facility | None | $100.00 | $144.54 | $177.83 |
Providence Setting Facility Modifier None Typical Low $95.50 Median $223.87 Typical High $281.84 | Facility | None | $95.50 | $223.87 | $281.84 |
Providence Setting Professional Modifier None Typical Low $74.13 Median $109.65 Typical High $199.53 | Professional | None | $74.13 | $109.65 | $199.53 |
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 $123.03 Median $173.78 Typical High $234.42 | Professional | None | $123.03 | $173.78 | $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 $53.70 Median $53.70 Typical High $53.70 | Professional | 52 · Reduced service | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 53 · Discontinued | $21.38 | $21.38 | $21.38 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 52 · Reduced service | $53.70 | $53.70 | $53.70 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 53 · Discontinued | $21.38 | $21.38 | $21.38 |
Where Oregon sits
The same service costs 2.8 times more in Minnesota than in Utah. 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· 12th of 51
$138
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.