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 $74.13 Median $134.90 Typical High $204.17 | Professional | None | $74.13 | $134.90 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $204.17 Typical High $346.74 | Professional | None | $128.82 | $204.17 | $346.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $199.53 Median $245.47 Typical High $295.12 | Professional | None | $199.53 | $245.47 | $295.12 |
Moda Health Setting Facility Modifier None Typical Low $107.15 Median $173.78 Typical High $229.09 | Facility | None | $107.15 | $173.78 | $229.09 |
Moda Health Setting Professional Modifier None Typical Low $75.86 Median $158.49 Typical High $234.42 | Professional | None | $75.86 | $158.49 | $234.42 |
Pacific Source Setting Facility Modifier None Typical Low $97.72 Median $194.98 Typical High $234.42 | Facility | None | $97.72 | $194.98 | $234.42 |
Providence Setting Facility Modifier None Typical Low $141.25 Median $173.78 Typical High $204.17 | Facility | None | $141.25 | $173.78 | $204.17 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $190.55 Typical High $346.74 | Professional | None | $79.43 | $190.55 | $346.74 |
Regence BlueShield Setting Facility Modifier None Typical Low $162.18 Median $213.80 Typical High $245.47 | Facility | None | $162.18 | $213.80 | $245.47 |
Regence BlueShield Setting Professional Modifier None Typical Low $218.78 Median $239.88 Typical High $295.12 | Professional | None | $218.78 | $239.88 | $295.12 |
United Setting Facility Modifier None Typical Low $186.21 Median $234.42 Typical High $288.40 | Facility | None | $186.21 | $234.42 | $288.40 |
United Setting Professional Modifier None Typical Low $117.49 Median $204.17 Typical High $389.05 | Professional | None | $117.49 | $204.17 | $389.05 |
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 $38.02 Median $79.43 Typical High $79.43 | Professional | 52 · Reduced service | $38.02 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $15.49 | $31.62 | $31.62 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $79.43 Typical High $79.43 | Professional | 52 · Reduced service | $36.31 | $79.43 | $79.43 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $14.79 | $31.62 | $31.62 |
Where Oregon sits
The same service costs 4.2 times more in Alaska than in Alabama. 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· 7th of 51
$195
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.