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 $19.05 Median $23.44 Typical High $66.07 | Facility | None | $19.05 | $23.44 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $25.12 Typical High $54.95 | Professional | None | $11.75 | $25.12 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $16.60 Median $39.81 Typical High $100.00 | Professional | None | $16.60 | $39.81 | $100.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $19.95 Median $28.84 Typical High $97.72 | Professional | None | $19.95 | $28.84 | $97.72 |
Moda Health Setting Facility Modifier None Typical Low $23.44 Median $97.72 Typical High $891.25 | Facility | None | $23.44 | $97.72 | $891.25 |
Moda Health Setting Professional Modifier None Typical Low $12.88 Median $40.74 Typical High $114.82 | Professional | None | $12.88 | $40.74 | $114.82 |
Pacific Source Setting Facility Modifier None Typical Low $42.66 Median $72.44 Typical High $75.86 | Facility | None | $42.66 | $72.44 | $75.86 |
Providence Setting Facility Modifier None Typical Low $12.59 Median $50.12 Typical High $97.72 | Facility | None | $12.59 | $50.12 | $97.72 |
Providence Setting Professional Modifier None Typical Low $19.05 Median $54.95 Typical High $102.33 | Professional | None | $19.05 | $54.95 | $102.33 |
Regence BlueShield Setting Professional Modifier None Typical Low $21.88 Median $46.77 Typical High $87.10 | Professional | None | $21.88 | $46.77 | $87.10 |
United Setting Professional Modifier None Typical Low $16.98 Median $40.74 Typical High $97.72 | Professional | None | $16.98 | $40.74 | $97.72 |
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 $7.76 Median $10.72 Typical High $26.92 | Professional | 52 · Reduced service | $7.76 | $10.72 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $4.27 Typical High $10.96 | Professional | 53 · Discontinued | $3.09 | $4.27 | $10.96 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $7.76 Median $10.72 Typical High $26.92 | Professional | 52 · Reduced service | $7.76 | $10.72 | $26.92 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $4.27 Typical High $10.96 | Professional | 53 · Discontinued | $3.09 | $4.27 | $10.96 |
Where Oregon sits
The same service costs 2.5 times more in Kansas than in Maryland. 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
$44.67
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.