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 $39.81 Median $54.95 Typical High $54.95 | Professional | None | $39.81 | $54.95 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $70.79 Typical High $114.82 | Professional | None | $60.26 | $70.79 | $114.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $64.57 Median $85.11 Typical High $95.50 | Professional | None | $64.57 | $85.11 | $95.50 |
Moda Health Setting Facility Modifier None Typical Low $54.95 Median $77.62 Typical High $100.00 | Facility | None | $54.95 | $77.62 | $100.00 |
Moda Health Setting Professional Modifier None Typical Low $54.95 Median $64.57 Typical High $97.72 | Professional | None | $54.95 | $64.57 | $97.72 |
Pacific Source Setting Facility Modifier None Typical Low $50.12 Median $81.28 Typical High $83.18 | Facility | None | $50.12 | $81.28 | $83.18 |
Providence Setting Facility Modifier None Typical Low $45.71 Median $64.57 Typical High $100.00 | Facility | None | $45.71 | $64.57 | $100.00 |
Providence Setting Professional Modifier None Typical Low $61.66 Median $79.43 Typical High $117.49 | Professional | None | $61.66 | $79.43 | $117.49 |
Regence BlueShield Setting Professional Modifier None Typical Low $74.13 Median $81.28 Typical High $102.33 | Professional | None | $74.13 | $81.28 | $102.33 |
United Setting Professional Modifier None Typical Low $60.26 Median $77.62 Typical High $131.83 | Professional | None | $60.26 | $77.62 | $131.83 |
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 $19.95 Median $26.92 Typical High $26.92 | Professional | 52 · Reduced service | $19.95 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $10.96 Typical High $10.96 | Professional | 53 · Discontinued | $8.13 | $10.96 | $10.96 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $19.95 Median $26.92 Typical High $26.92 | Professional | 52 · Reduced service | $19.95 | $26.92 | $26.92 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $10.96 Typical High $10.96 | Professional | 53 · Discontinued | $7.94 | $10.96 | $10.96 |
Where Oregon sits
The same service costs 6.0 times more in Alaska than in Ohio. 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· 6th of 51
$79.43
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.