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 $30.20 Median $58.88 Typical High $72.44 | Facility | None | $30.20 | $58.88 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $45.71 Typical High $61.66 | Professional | None | $30.20 | $45.71 | $61.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.14 Median $16.98 Typical High $29.51 | Professional | 52 · Reduced service | $15.14 | $16.98 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.76 Typical High $11.75 | Professional | 53 · Discontinued | $6.03 | $6.76 | $11.75 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $47.86 Typical High $51.29 | Professional | None | $38.02 | $47.86 | $51.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $33.88 Median $61.66 Typical High $107.15 | Professional | None | $33.88 | $61.66 | $107.15 |
Moda Health Setting Facility Modifier None Typical Low $30.20 Median $61.66 Typical High $158.49 | Facility | None | $30.20 | $61.66 | $158.49 |
Moda Health Setting Professional Modifier None Typical Low $30.20 Median $46.77 Typical High $61.66 | Professional | None | $30.20 | $46.77 | $61.66 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $15.14 Median $16.98 Typical High $29.51 | Professional | 52 · Reduced service | $15.14 | $16.98 | $29.51 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.76 Typical High $11.75 | Professional | 53 · Discontinued | $6.03 | $6.76 | $11.75 |
Pacific Source Setting Facility Modifier None Typical Low $52.48 Median $83.18 Typical High $89.13 | Facility | None | $52.48 | $83.18 | $89.13 |
Providence Setting Facility Modifier None Typical Low $23.99 Median $51.29 Typical High $109.65 | Facility | None | $23.99 | $51.29 | $109.65 |
Providence Setting Professional Modifier None Typical Low $30.20 Median $47.86 Typical High $79.43 | Professional | None | $30.20 | $47.86 | $79.43 |
Regence BlueShield Setting Facility Modifier None Typical Low $57.54 Median $354.81 Typical High $512.86 | Facility | None | $57.54 | $354.81 | $512.86 |
Regence BlueShield Setting Professional Modifier None Typical Low $42.66 Median $52.48 Typical High $83.18 | Professional | None | $42.66 | $52.48 | $83.18 |
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 $43.65 Median $67.61 Typical High $93.33 | Professional | None | $43.65 | $67.61 | $93.33 |
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 59 · Distinct service Typical Low $34.67 Median $58.88 Typical High $131.83 | Professional | 59 · Distinct service | $34.67 | $58.88 | $131.83 |
Where Oregon sits
The same service costs 2.3 times more in Hawaii 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
$47.86
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.