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 $17.78 Median $17.78 Typical High $17.78 | Professional | None | $17.78 | $17.78 | $17.78 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $72.44 Typical High $104.71 | Professional | None | $34.67 | $72.44 | $104.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $56.23 Median $77.62 Typical High $112.20 | Professional | None | $56.23 | $77.62 | $112.20 |
Moda Health Setting Facility Modifier None Typical Low $17.78 Median $21.88 Typical High $25.70 | Facility | None | $17.78 | $21.88 | $25.70 |
Moda Health Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $21.88 | Professional | None | $17.78 | $17.78 | $21.88 |
Pacific Source Setting Facility Modifier None Typical Low $17.78 Median $29.51 Typical High $29.51 | Facility | None | $17.78 | $29.51 | $29.51 |
Providence Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $37.15 | Facility | None | $25.70 | $25.70 | $37.15 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $79.43 Typical High $83.18 | Professional | None | $60.26 | $79.43 | $83.18 |
Regence BlueShield Setting Facility Modifier None Typical Low $104.71 Median $239.88 Typical High $354.81 | Facility | None | $104.71 | $239.88 | $354.81 |
Regence BlueShield Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None | $37.15 | $37.15 | $37.15 |
United Setting Facility Modifier None Typical Low $323.59 Median $398.11 Typical High $501.19 | Facility | None | $323.59 | $398.11 | $501.19 |
United Setting Professional Modifier None Typical Low $75.86 Median $100.00 Typical High $158.49 | Professional | None | $75.86 | $100.00 | $158.49 |
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 |
|---|---|---|---|---|---|
Kaiser Permanente Setting Professional Modifier HN · Bachelor's level Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | HN · Bachelor's level | $24.55 | $24.55 | $24.55 |
United Setting Professional Modifier HN · Bachelor's level Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | HN · Bachelor's level | $25.12 | $25.12 | $25.12 |
United Setting Professional Modifier HO · Master's level Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | HO · Master's level | $30.20 | $30.20 | $30.20 |
United Setting Professional Modifier HP · Doctoral level Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | HP · Doctoral level | $30.20 | $30.20 | $30.20 |
Where Oregon sits
The same service costs 4.8 times more in Wyoming than in West Virginia. 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· 36th of 51
$21.88
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.