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 $21.88 Median $30.90 Typical High $44.67 | Facility | None | $21.88 | $30.90 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $25.12 Typical High $33.88 | Professional | None | $17.78 | $25.12 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $40.74 Typical High $46.77 | Professional | None | $22.39 | $40.74 | $46.77 |
Kaiser Permanente Setting Professional Modifier None Typical Low $31.62 Median $38.90 Typical High $39.81 | Professional | None | $31.62 | $38.90 | $39.81 |
Moda Health Setting Facility Modifier None Typical Low $33.88 Median $194.98 Typical High $363.08 | Facility | None | $33.88 | $194.98 | $363.08 |
Moda Health Setting Professional Modifier None Typical Low $19.05 Median $30.20 Typical High $102.33 | Professional | None | $19.05 | $30.20 | $102.33 |
Pacific Source Setting Facility Modifier None Typical Low $18.62 Median $28.84 Typical High $42.66 | Facility | None | $18.62 | $28.84 | $42.66 |
Providence Setting Facility Modifier None Typical Low $19.05 Median $48.98 Typical High $57.54 | Facility | None | $19.05 | $48.98 | $57.54 |
Providence Setting Professional Modifier None Typical Low $25.12 Median $41.69 Typical High $79.43 | Professional | None | $25.12 | $41.69 | $79.43 |
Regence BlueShield Setting Facility Modifier None Typical Low $112.20 Median $162.18 Typical High $190.55 | Facility | None | $112.20 | $162.18 | $190.55 |
United Setting Facility Modifier None Typical Low $147.91 Median $186.21 Typical High $229.09 | Facility | None | $147.91 | $186.21 | $229.09 |
United Setting Professional Modifier None Typical Low $26.92 Median $39.81 Typical High $50.12 | Professional | None | $26.92 | $39.81 | $50.12 |
2 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 |
|---|---|---|---|---|---|
Moda Health Setting Facility Modifier 59 · Distinct service Typical Low $63.10 Median $239.88 Typical High $346.74 | Facility | 59 · Distinct service | $63.10 | $239.88 | $346.74 |
Moda Health Setting Facility Modifier XU · Unusual separate service Typical Low $117.49 Median $147.91 Typical High $288.40 | Facility | XU · Unusual separate service | $117.49 | $147.91 | $288.40 |
Where Oregon sits
The same service costs 8.5 times more in Vermont than in Maryland. 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· 15th of 51
$41.69
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.