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 $131.83 Median $199.53 Typical High $199.53 | Professional | None | $131.83 | $199.53 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $162.18 Typical High $323.59 | Professional | None | $125.89 | $162.18 | $323.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $257.04 Median $309.03 Typical High $389.05 | Professional | None | $257.04 | $309.03 | $389.05 |
Moda Health Setting Facility Modifier None Typical Low $199.53 Median $288.40 Typical High $302.00 | Facility | None | $199.53 | $288.40 | $302.00 |
Moda Health Setting Professional Modifier None Typical Low $147.91 Median $199.53 Typical High $269.15 | Professional | None | $147.91 | $199.53 | $269.15 |
Pacific Source Setting Facility Modifier None Typical Low $169.82 Median $234.42 Typical High $275.42 | Facility | None | $169.82 | $234.42 | $275.42 |
Providence Setting Facility Modifier None Typical Low $181.97 Median $263.03 Typical High $331.13 | Facility | None | $181.97 | $263.03 | $331.13 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $177.83 Typical High $338.84 | Professional | None | $79.43 | $177.83 | $338.84 |
Regence BlueShield Setting Facility Modifier None Typical Low $407.38 Median $549.54 Typical High $630.96 | Facility | None | $407.38 | $549.54 | $630.96 |
Regence BlueShield Setting Professional Modifier None Typical Low $223.87 Median $234.42 Typical High $245.47 | Professional | None | $223.87 | $234.42 | $245.47 |
United Setting Facility Modifier None Typical Low $407.38 Median $512.86 Typical High $630.96 | Facility | None | $407.38 | $512.86 | $630.96 |
United Setting Professional Modifier None Typical Low $186.21 Median $257.04 Typical High $398.11 | Professional | None | $186.21 | $257.04 | $398.11 |
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 $74.13 Median $100.00 Typical High $100.00 | Professional | 52 · Reduced service | $74.13 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $29.51 | $39.81 | $39.81 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | 52 · Reduced service | $100.00 | $100.00 | $100.00 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $39.81 | $39.81 | $39.81 |
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
$224
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.