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 $20.42 Median $26.92 Typical High $28.84 | Facility | None | $20.42 | $26.92 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $20.42 Typical High $22.39 | Professional | None | $15.14 | $20.42 | $22.39 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $16.60 Typical High $33.11 | Professional | None | $12.30 | $16.60 | $33.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $22.39 Median $26.92 Typical High $33.88 | Professional | None | $22.39 | $26.92 | $33.88 |
Moda Health Setting Facility Modifier None Typical Low $28.18 Median $331.13 Typical High $977.24 | Facility | None | $28.18 | $331.13 | $977.24 |
Moda Health Setting Professional Modifier None Typical Low $13.18 Median $20.42 Typical High $37.15 | Professional | None | $13.18 | $20.42 | $37.15 |
Pacific Source Setting Facility Modifier None Typical Low $19.05 Median $22.91 Typical High $23.99 | Facility | None | $19.05 | $22.91 | $23.99 |
Providence Setting Facility Modifier None Typical Low $16.22 Median $22.91 Typical High $32.36 | Facility | None | $16.22 | $22.91 | $32.36 |
Providence Setting Professional Modifier None Typical Low $12.88 Median $21.88 Typical High $43.65 | Professional | None | $12.88 | $21.88 | $43.65 |
Regence BlueShield Setting Facility Modifier None Typical Low $100.00 Median $138.04 Typical High $158.49 | Facility | None | $100.00 | $138.04 | $158.49 |
Regence BlueShield Setting Professional Modifier None Typical Low $22.39 Median $22.91 Typical High $23.99 | Professional | None | $22.39 | $22.91 | $23.99 |
United Setting Facility Modifier None Typical Low $117.49 Median $147.91 Typical High $186.21 | Facility | None | $117.49 | $147.91 | $186.21 |
United Setting Professional Modifier None Typical Low $22.39 Median $30.90 Typical High $40.74 | Professional | None | $22.39 | $30.90 | $40.74 |
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 $8.32 Median $10.23 Typical High $10.23 | Professional | 52 · Reduced service | $8.32 | $10.23 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $4.07 Typical High $4.07 | Professional | 53 · Discontinued | $3.39 | $4.07 | $4.07 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | 52 · Reduced service | $10.23 | $10.23 | $10.23 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.07 Typical High $4.07 | Professional | 53 · Discontinued | $4.07 | $4.07 | $4.07 |
Where Oregon sits
The same service costs 3.0 times more in Minnesota 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· 10th of 51
$22.91
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.