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 $77.62 Median $562.34 Typical High $562.34 | Facility | None | $77.62 | $562.34 | $562.34 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $77.62 Typical High $323.59 | Professional | None | $41.69 | $77.62 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $380.19 Typical High $660.69 | Professional | None | $257.04 | $380.19 | $660.69 |
Kaiser Permanente Setting Professional Modifier None Typical Low $489.78 Median $588.84 Typical High $741.31 | Professional | None | $489.78 | $588.84 | $741.31 |
Moda Health Setting Facility Modifier None Typical Low $91.20 Median $524.81 Typical High $691.83 | Facility | None | $91.20 | $524.81 | $691.83 |
Moda Health Setting Professional Modifier None Typical Low $51.29 Median $281.84 Typical High $524.81 | Professional | None | $51.29 | $281.84 | $524.81 |
Pacific Source Setting Facility Modifier None Typical Low $389.05 Median $467.74 Typical High $467.74 | Facility | None | $389.05 | $467.74 | $467.74 |
Providence Setting Facility Modifier None Typical Low $354.81 Median $501.19 Typical High $645.65 | Facility | None | $354.81 | $501.19 | $645.65 |
Providence Setting Professional Modifier None Typical Low $158.49 Median $426.58 Typical High $691.83 | Professional | None | $158.49 | $426.58 | $691.83 |
Regence BlueShield Setting Facility Modifier None Typical Low $331.13 Median $446.68 Typical High $512.86 | Facility | None | $331.13 | $446.68 | $512.86 |
Regence BlueShield Setting Professional Modifier None Typical Low $436.52 Median $446.68 Typical High $467.74 | Professional | None | $436.52 | $446.68 | $467.74 |
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 $57.54 Median $79.43 Typical High $691.83 | Professional | None | $57.54 | $79.43 | $691.83 |
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 $38.90 Median $38.90 Typical High $38.90 | Professional | 52 · Reduced service | $38.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | 53 · Discontinued | $15.49 | $15.49 | $15.49 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | 52 · Reduced service | $38.90 | $38.90 | $38.90 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | 53 · Discontinued | $15.49 | $15.49 | $15.49 |
Where Oregon sits
The same service costs 13.5 times more in Minnesota than in Indiana. 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
$447
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.