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 $12.88 Median $12.88 Typical High $12.88 | Facility | None | $12.88 | $12.88 | $12.88 |
Aetna Setting Professional Modifier None Typical Low $6.61 Median $6.61 Typical High $6.61 | Professional | None | $6.61 | $6.61 | $6.61 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $15.85 Typical High $17.38 | Professional | None | $7.59 | $15.85 | $17.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $11.48 Median $13.80 Typical High $17.38 | Professional | None | $11.48 | $13.80 | $17.38 |
Moda Health Setting Facility Modifier None Typical Low $9.55 Median $14.45 Typical High $467.74 | Facility | None | $9.55 | $14.45 | $467.74 |
Moda Health Setting Professional Modifier None Typical Low $6.61 Median $6.76 Typical High $18.20 | Professional | None | $6.61 | $6.76 | $18.20 |
Pacific Source Setting Facility Modifier None Typical Low $8.51 Median $10.00 Typical High $18.20 | Facility | None | $8.51 | $10.00 | $18.20 |
Providence Setting Facility Modifier None Typical Low $7.24 Median $12.59 Typical High $33.88 | Facility | None | $7.24 | $12.59 | $33.88 |
Providence Setting Professional Modifier None Typical Low $7.24 Median $16.60 Typical High $79.43 | Professional | None | $7.24 | $16.60 | $79.43 |
Regence BlueShield Setting Facility Modifier None Typical Low $323.59 Median $446.68 Typical High $512.86 | Facility | None | $323.59 | $446.68 | $512.86 |
Regence BlueShield Setting Professional Modifier None Typical Low $10.47 Median $10.72 Typical High $11.48 | Professional | None | $10.47 | $10.72 | $11.48 |
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 $7.41 Median $10.23 Typical High $19.50 | Professional | None | $7.41 | $10.23 | $19.50 |
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 $3.31 Median $3.31 Typical High $3.31 | Professional | 52 · Reduced service | $3.31 | $3.31 | $3.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.32 Median $1.32 Typical High $1.32 | Professional | 53 · Discontinued | $1.32 | $1.32 | $1.32 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $3.31 Median $3.31 Typical High $3.31 | Professional | 52 · Reduced service | $3.31 | $3.31 | $3.31 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.32 Median $1.32 Typical High $1.32 | Professional | 53 · Discontinued | $1.32 | $1.32 | $1.32 |
Where Oregon sits
The same service costs 3.9 times more in Indiana 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· 16th of 51
$10.96
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.