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 $218.78 Median $269.15 Typical High $338.84 | Professional | None | $218.78 | $269.15 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $218.78 Typical High $478.63 | Professional | None | $177.83 | $218.78 | $478.63 |
Kaiser Permanente Setting Professional Modifier None Typical Low $331.13 Median $389.05 Typical High $489.78 | Professional | None | $331.13 | $389.05 | $489.78 |
Moda Health Setting Facility Modifier None Typical Low $269.15 Median $501.19 Typical High $588.84 | Facility | None | $269.15 | $501.19 | $588.84 |
Moda Health Setting Professional Modifier None Typical Low $190.55 Median $269.15 Typical High $436.52 | Professional | None | $190.55 | $269.15 | $436.52 |
Pacific Source Setting Facility Modifier None Typical Low $229.09 Median $331.13 Typical High $416.87 | Facility | None | $229.09 | $331.13 | $416.87 |
Providence Setting Facility Modifier None Typical Low $234.42 Median $501.19 Typical High $588.84 | Facility | None | $234.42 | $501.19 | $588.84 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $257.04 Typical High $478.63 | Professional | None | $79.43 | $257.04 | $478.63 |
Regence BlueShield Setting Professional Modifier None Typical Low $323.59 Median $331.13 Typical High $354.81 | Professional | None | $323.59 | $331.13 | $354.81 |
United Setting Professional Modifier None Typical Low $275.42 Median $398.11 Typical High $562.34 | Professional | None | $275.42 | $398.11 | $562.34 |
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 $134.90 Median $134.90 Typical High $134.90 | Professional | 52 · Reduced service | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 53 · Discontinued | $53.70 | $53.70 | $53.70 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 52 · Reduced service | $134.90 | $134.90 | $134.90 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 53 · Discontinued | $53.70 | $53.70 | $53.70 |
Where Oregon sits
The same service costs 2.5 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· 12th of 51
$324
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.