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 $26.92 Median $46.77 Typical High $66.07 | Professional | None | $26.92 | $46.77 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $23.44 Median $54.95 Typical High $102.33 | Professional | None | $23.44 | $54.95 | $102.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $38.90 Median $75.86 Typical High $141.25 | Professional | None | $38.90 | $75.86 | $141.25 |
Moda Health Setting Facility Modifier None Typical Low $42.66 Median $66.07 Typical High $144.54 | Facility | None | $42.66 | $66.07 | $144.54 |
Moda Health Setting Professional Modifier None Typical Low $26.92 Median $57.54 Typical High $100.00 | Professional | None | $26.92 | $57.54 | $100.00 |
Pacific Source Setting Facility Modifier None Typical Low $57.54 Median $95.50 Typical High $107.15 | Facility | None | $57.54 | $95.50 | $107.15 |
Providence Setting Facility Modifier None Typical Low $22.91 Median $66.07 Typical High $144.54 | Facility | None | $22.91 | $66.07 | $144.54 |
Providence Setting Professional Modifier None Typical Low $28.18 Median $63.10 Typical High $117.49 | Professional | None | $28.18 | $63.10 | $117.49 |
Regence BlueShield Setting Facility Modifier None Typical Low $100.00 Median $138.04 Typical High $154.88 | Facility | None | $100.00 | $138.04 | $154.88 |
Regence BlueShield Setting Professional Modifier None Typical Low $43.65 Median $74.13 Typical High $107.15 | Professional | None | $43.65 | $74.13 | $107.15 |
United Setting Facility Modifier None Typical Low $117.49 Median $147.91 Typical High $186.21 | Facility | None | $117.49 | $147.91 | $186.21 |
United Setting Professional Modifier None Typical Low $38.90 Median $74.13 Typical High $138.04 | Professional | None | $38.90 | $74.13 | $138.04 |
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 $14.79 Median $23.44 Typical High $33.11 | Professional | 52 · Reduced service | $14.79 | $23.44 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $9.33 Typical High $13.18 | Professional | 53 · Discontinued | $5.89 | $9.33 | $13.18 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $14.79 Median $22.91 Typical High $33.11 | Professional | 52 · Reduced service | $14.79 | $22.91 | $33.11 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $9.33 Typical High $13.18 | Professional | 53 · Discontinued | $5.89 | $9.33 | $13.18 |
Where Oregon sits
The same service costs 3.7 times more in Alaska than in Washington, DC. 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· 9th of 51
$60.26
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.