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 $38.02 Median $41.69 Typical High $41.69 | Facility | None | $38.02 | $41.69 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $34.67 Typical High $50.12 | Professional | None | $22.91 | $34.67 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $53.70 Typical High $58.88 | Professional | None | $16.98 | $53.70 | $58.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $34.67 Median $41.69 Typical High $52.48 | Professional | None | $34.67 | $41.69 | $52.48 |
Moda Health Setting Facility Modifier None Typical Low $60.26 Median $1,584.89 Typical High $2,290.87 | Facility | None | $60.26 | $1,584.89 | $2,290.87 |
Moda Health Setting Professional Modifier None Typical Low $20.42 Median $34.67 Typical High $63.10 | Professional | None | $20.42 | $34.67 | $63.10 |
Pacific Source Setting Facility Modifier None Typical Low $29.51 Median $37.15 Typical High $52.48 | Facility | None | $29.51 | $37.15 | $52.48 |
Pacific Source Setting Professional Modifier None Typical Low $29.51 Median $35.48 Typical High $35.48 | Professional | None | $29.51 | $35.48 | $35.48 |
Providence Setting Facility Modifier None Typical Low $25.12 Median $66.07 Typical High $81.28 | Facility | None | $25.12 | $66.07 | $81.28 |
Providence Setting Professional Modifier None Typical Low $32.36 Median $47.86 Typical High $79.43 | Professional | None | $32.36 | $47.86 | $79.43 |
Regence BlueShield Setting Facility Modifier None Typical Low $323.59 Median $446.68 Typical High $512.86 | Facility | None | $323.59 | $446.68 | $512.86 |
Regence BlueShield Setting Professional Modifier None Typical Low $33.88 Median $34.67 Typical High $37.15 | Professional | None | $33.88 | $34.67 | $37.15 |
United Setting Facility Modifier None Typical Low $426.58 Median $524.81 Typical High $660.69 | Facility | None | $426.58 | $524.81 | $660.69 |
United Setting Professional Modifier None Typical Low $35.48 Median $48.98 Typical High $61.66 | Professional | None | $35.48 | $48.98 | $61.66 |
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 $13.49 Median $13.49 Typical High $13.49 | Professional | 52 · Reduced service | $13.49 | $13.49 | $13.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | 53 · Discontinued | $5.37 | $5.37 | $5.37 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | 52 · Reduced service | $13.49 | $13.49 | $13.49 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | 53 · Discontinued | $5.37 | $5.37 | $5.37 |
Where Oregon sits
The same service costs 3.0 times more in Minnesota than in Pennsylvania. 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· 15th of 51
$37.15
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.