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 |
|---|---|---|---|---|---|
Moda Health Setting Facility Modifier None Typical Low $588.84 Median $3,235.94 Typical High $3,630.78 | Facility | None | $588.84 | $3,235.94 | $3,630.78 |
Pacific Source Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
Providence Setting Facility Modifier None Typical Low $1,659,586.91 Median $1,659,586.91 Typical High $1,659,586.91 | Facility | None | $1,659,586.91 | $1,659,586.91 | $1,659,586.91 |
Providence Setting Professional Modifier None (both parts) Typical Low $70.79 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $70.79 | $79.43 | $79.43 |
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 |
United Setting Facility Modifier None Typical Low $512.86 Median $4,897.79 Typical High $6,165.95 | Facility | None | $512.86 | $4,897.79 | $6,165.95 |
United Setting Professional Modifier None (both parts) Typical Low $34.67 Median $39.81 Typical High $60.26 | Professional | None (both parts) | $34.67 | $39.81 | $60.26 |
1 more rate 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 |
|---|---|---|---|---|---|
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $2,089.30 | Professional | 26 · Professional part | $83.18 | $83.18 | $2,089.30 |
Where Oregon sits
The same service costs 120.2 times more in New Hampshire than in Idaho. 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· 42nd of 49
$79.43
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.