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 $4.79 Median $4.79 Typical High $5.25 | Professional | None | $4.79 | $4.79 | $5.25 |
Cigna Setting Professional Modifier None Typical Low $5.37 Median $5.37 Typical High $32.36 | Professional | None | $5.37 | $5.37 | $32.36 |
Kaiser Permanente Setting Professional Modifier None Typical Low $8.13 Median $9.55 Typical High $12.30 | Professional | None | $8.13 | $9.55 | $12.30 |
Moda Health Setting Facility Modifier None Typical Low $6.92 Median $10.72 Typical High $102.33 | Facility | None | $6.92 | $10.72 | $102.33 |
Moda Health Setting Professional Modifier None Typical Low $4.79 Median $5.62 Typical High $9.77 | Professional | None | $4.79 | $5.62 | $9.77 |
Pacific Source Setting Facility Modifier None Typical Low $5.50 Median $7.76 Typical High $9.33 | Facility | None | $5.50 | $7.76 | $9.33 |
Pacific Source Setting Professional Modifier None Typical Low $6.61 Median $6.61 Typical High $6.61 | Professional | None | $6.61 | $6.61 | $6.61 |
Providence Setting Facility Modifier None Typical Low $5.25 Median $9.33 Typical High $12.59 | Facility | None | $5.25 | $9.33 | $12.59 |
Providence Setting Professional Modifier None Typical Low $5.37 Median $9.12 Typical High $79.43 | Professional | None | $5.37 | $9.12 | $79.43 |
Regence BlueShield Setting Professional Modifier None Typical Low $7.41 Median $7.59 Typical High $7.94 | Professional | None | $7.41 | $7.59 | $7.94 |
United Setting Professional Modifier None Typical Low $5.75 Median $7.41 Typical High $12.88 | Professional | None | $5.75 | $7.41 | $12.88 |
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 $2.29 Median $2.40 Typical High $2.40 | Professional | 52 · Reduced service | $2.29 | $2.40 | $2.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.91 Median $0.95 Typical High $0.95 | Professional | 53 · Discontinued | $0.91 | $0.95 | $0.95 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $2.40 Median $2.40 Typical High $2.40 | Professional | 52 · Reduced service | $2.40 | $2.40 | $2.40 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.95 Median $0.95 Typical High $0.95 | Professional | 53 · Discontinued | $0.95 | $0.95 | $0.95 |
Where Oregon sits
The same service costs 2.3 times more in Kansas than in Pennsylvania. 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· 8th of 51
$7.59
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.