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 $8.91 Median $10.00 Typical High $10.00 | Professional | None | $8.91 | $10.00 | $10.00 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $8.71 Typical High $19.95 | Professional | None | $7.59 | $8.71 | $19.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $12.88 Median $16.60 Typical High $20.42 | Professional | None | $12.88 | $16.60 | $20.42 |
Moda Health Setting Facility Modifier None Typical Low $10.00 Median $18.20 Typical High $23.44 | Facility | None | $10.00 | $18.20 | $23.44 |
Moda Health Setting Professional Modifier None Typical Low $7.41 Median $10.00 Typical High $15.85 | Professional | None | $7.41 | $10.00 | $15.85 |
Pacific Source Setting Facility Modifier None Typical Low $1.32 Median $12.59 Typical High $15.49 | Facility | None | $1.32 | $12.59 | $15.49 |
Pacific Source Setting Professional Modifier None Typical Low $1.32 Median $1.32 Typical High $13.80 | Professional | None | $1.32 | $1.32 | $13.80 |
Providence Setting Facility Modifier None Typical Low $7.59 Median $13.18 Typical High $23.44 | Facility | None | $7.59 | $13.18 | $23.44 |
Providence Setting Professional Modifier None Typical Low $7.94 Median $12.88 Typical High $70.79 | Professional | None | $7.94 | $12.88 | $70.79 |
Regence BlueShield Setting Professional Modifier None Typical Low $14.13 Median $14.79 Typical High $15.49 | Professional | None | $14.13 | $14.79 | $15.49 |
United Setting Professional Modifier None Typical Low $11.75 Median $16.22 Typical High $25.12 | Professional | None | $11.75 | $16.22 | $25.12 |
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 $4.47 Median $5.01 Typical High $5.01 | Professional | 52 · Reduced service | $4.47 | $5.01 | $5.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.78 Median $2.00 Typical High $2.00 | Professional | 53 · Discontinued | $1.78 | $2.00 | $2.00 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 52 · Reduced service | $5.01 | $5.01 | $5.01 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $2.00 Typical High $2.00 | Professional | 53 · Discontinued | $2.00 | $2.00 | $2.00 |
Where Oregon sits
The same service costs 2.6 times more in Alaska than in New York. 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
$14.13
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.