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 $42.66 Median $57.54 Typical High $57.54 | Professional | None | $42.66 | $57.54 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $72.44 Typical High $117.49 | Professional | None | $61.66 | $72.44 | $117.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $69.18 Median $91.20 Typical High $102.33 | Professional | None | $69.18 | $91.20 | $102.33 |
Moda Health Setting Facility Modifier None Typical Low $57.54 Median $81.28 Typical High $104.71 | Facility | None | $57.54 | $81.28 | $104.71 |
Moda Health Setting Professional Modifier None Typical Low $57.54 Median $69.18 Typical High $104.71 | Professional | None | $57.54 | $69.18 | $104.71 |
Pacific Source Setting Facility Modifier None Typical Low $52.48 Median $85.11 Typical High $87.10 | Facility | None | $52.48 | $85.11 | $87.10 |
Providence Setting Facility Modifier None Typical Low $48.98 Median $69.18 Typical High $104.71 | Facility | None | $48.98 | $69.18 | $104.71 |
Providence Setting Professional Modifier None Typical Low $63.10 Median $83.18 Typical High $125.89 | Professional | None | $63.10 | $83.18 | $125.89 |
Regence BlueShield Setting Professional Modifier None Typical Low $79.43 Median $85.11 Typical High $107.15 | Professional | None | $79.43 | $85.11 | $107.15 |
United Setting Professional Modifier None Typical Low $63.10 Median $81.28 Typical High $138.04 | Professional | None | $63.10 | $81.28 | $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 $21.38 Median $28.18 Typical High $28.18 | Professional | 52 · Reduced service | $21.38 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $11.48 Typical High $11.48 | Professional | 53 · Discontinued | $8.51 | $11.48 | $11.48 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $20.89 Median $28.18 Typical High $28.18 | Professional | 52 · Reduced service | $20.89 | $28.18 | $28.18 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $11.48 Typical High $11.48 | Professional | 53 · Discontinued | $8.32 | $11.48 | $11.48 |
Where Oregon sits
The same service costs 4.4 times more in Alaska than in Missouri. 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
$81.28
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.