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 $38.90 Median $95.50 Typical High $95.50 | Professional | None | $38.90 | $95.50 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $134.90 Typical High $223.87 | Professional | None | $112.20 | $134.90 | $223.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $134.90 Median $165.96 Typical High $194.98 | Professional | None | $134.90 | $165.96 | $194.98 |
Moda Health Setting Facility Modifier None Typical Low $85.11 Median $95.50 Typical High $138.04 | Facility | None | $85.11 | $95.50 | $138.04 |
Moda Health Setting Professional Modifier None Typical Low $64.57 Median $107.15 Typical High $190.55 | Professional | None | $64.57 | $107.15 | $190.55 |
Pacific Source Setting Facility Modifier None Typical Low $66.07 Median $125.89 Typical High $154.88 | Facility | None | $66.07 | $125.89 | $154.88 |
Providence Setting Facility Modifier None Typical Low $85.11 Median $93.33 Typical High $134.90 | Facility | None | $85.11 | $93.33 | $134.90 |
Providence Setting Professional Modifier None Typical Low $70.79 Median $134.90 Typical High $223.87 | Professional | None | $70.79 | $134.90 | $223.87 |
Regence BlueShield Setting Professional Modifier None Typical Low $144.54 Median $154.88 Typical High $194.98 | Professional | None | $144.54 | $154.88 | $194.98 |
United Setting Professional Modifier None Typical Low $60.26 Median $107.15 Typical High $251.19 | Professional | None | $60.26 | $107.15 | $251.19 |
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 $19.05 Median $47.86 Typical High $47.86 | Professional | 52 · Reduced service | $19.05 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $19.05 Typical High $19.05 | Professional | 53 · Discontinued | $7.76 | $19.05 | $19.05 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $17.78 Median $47.86 Typical High $47.86 | Professional | 52 · Reduced service | $17.78 | $47.86 | $47.86 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $19.05 Typical High $19.05 | Professional | 53 · Discontinued | $7.08 | $19.05 | $19.05 |
Where Oregon sits
The same service costs 6.6 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· 5th of 51
$126
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.